PDF(Pubmed)
Abstract：
Background In the modern Western world, activities and the daily routine of children have changed over time. Detailed analyses of the mechanisms of injuries and current fracture patterns in children are rare. The aim of the study was to elicit and investigate the most dangerous leisure and sporting activities leading to fractures in children today. Materials and methods This is a retrospective study focusing on children that were treated in a level-one trauma center in Germany between 2015 and 2020. All children who were 14 years of age or younger and suffered a traumatic injury treated in our emergency department were included in this study. From the database, mechanisms of injury, type of injury, age, and gender were analyzed. Results The study included 12508 patients, including 7302 males and 5206 females. Among the 10 most common mechanisms of injury were collisions (8.6%), falls (7.7%), injuries while playing (6.1%) or while running or walking (5.9%), soccer (5.9%), bicycle accidents (3.8%), and trampoline falls (3.4%). Road traffic accidents involving passengers or pedestrians caused 3.3% of the injuries but were the most common cause of death. The most common mechanisms of injury causing a fracture were falls, playing soccer, and bicycle accidents. Sorting the mechanisms of injury by the percentage that caused a fracture, the most dangerous activities were falling from heights above 2 meters, skiing and snowboarding, climbing and bouldering, skateboarding, and horseback riding. In the five-year study period, four out of six children died due to road traffic accidents. Conclusion Injured children must be provided with the best quality of care 24/7 in orthopedic trauma departments and have to be kept as a focus in the training of orthopedic trauma surgeons. Road traffic accidents are still the main cause of death in children, but they are overall less common. Falls and sports activities are the most likely to cause a fracture.
摘要：
背景在现代西方世界,随着时间的推移，儿童的活动和日常生活发生了变化。很少对儿童的损伤机制和当前骨折模式进行详细分析。该研究的目的是引发和调查当今导致儿童骨折的最危险的休闲和体育活动。材料和方法这是一项回顾性研究，重点是2015年至2020年在德国一级创伤中心接受治疗的儿童。本研究包括所有14岁或以下的儿童，并在我们的急诊科接受了外伤治疗。从数据库中,损伤机制,损伤类型,年龄,并对性别进行了分析。结果本研究纳入12508例患者,包括7302名男性和5206名女性。在10种最常见的损伤机制中，碰撞(8.6%)。下跌(7.7%)，玩耍时受伤(6.1%)或跑步或步行时受伤(5.9%)，足球(5.9%),自行车意外(3.8%),和蹦床下跌(3.4%)。涉及乘客或行人的道路交通事故造成了3.3%的伤害，但却是最常见的死亡原因。导致骨折的最常见的损伤机制是跌倒，踢足球,自行车事故根据导致骨折的百分比来分类损伤的机制，最危险的活动是从2米以上的高度坠落，滑雪和单板滑雪,攀爬和抱石，滑板,和骑马。在五年的学习期间，六个孩子中有四个死于道路交通事故。结论骨科创伤部门必须为受伤儿童提供24/7的最佳护理质量，并必须作为骨科创伤外科医师培训的重点。道路交通事故仍是儿童死亡的主要原因,但总体上并不常见。跌倒和体育活动最容易导致骨折。
