Epidemiological evaluation of traumatic lower limb fractures in children: Variation with age, gender, time, and etiology.

Abstract:

:To investigate the age, gender, time, and etiology differences of traumatic lower limb fractures (TLLFs) in a population of children (≤18 years old), we retrospectively reviewed 936 children who had TLLFs and who came to our university-affiliated hospitals from 2001 to 2010. This study enrolled 657 males (70.2%) and 279 females (29.8%) aged (11.6 ± 4.9) years old. The most common etiologies and fracture sites were motor vehicle collisions (MVCs, 440, 47.0%) and tibias (376, 40.2%). A total of 126 (13.5%) patients suffered neurological deficits (NDs), 127 (13.6%) patients sustained associated injuries (ASOIs), and 78 (8.3%) patients sustained complications. During all periods the occurrence increased with increasing age group and a male preponderance was observed in all age groups. With increasing age, the proportion of injuries due to different etiologies increased and the proportion of femur fracture decreased from 65.2% to 34.5%. With increasing year of admission, the proportion of injuries due to MVCs decreased. The most common fracture sites were tibias in MVCs, femurs in low fall, high fall, and struck by object, feet in sprain. Male patients presented with significantly higher proportions of injuries due to struck by object and sprain, significantly lower proportions of pelvis fracture than the female patients. MVCs and tibias were the most common etiologies and fracture sites. Prevention and treatment should be taken according to the pattern of TLLFs which have specific annual, gender, and age characteristics.

journal_name

Medicine (Baltimore)

journal_title

Medicine

authors

Liu H,Wang H,Shao B,Lu H,Zhang S,Ou L,Chen Y,Xiang L

doi

10.1097/MD.0000000000017123

subject

Has Abstract

pub_date

2019-09-01 00:00:00

pages

e17123

issue

38

eissn

0025-7974

issn

1536-5964

pii

00005792-201909200-00020

journal_volume

98

pub_type

杂志文章

相关文献

MEDICINE文献大全
  • Malignant phosphaturic mesenchymal tumor with pulmonary metastasis: A case report.

    abstract:RATIONALE:Phosphaturic mesenchymal tumor (PMT) is a new tumor entity of soft tissue and bone tumor recently accepted by the World Health Organization, which typically causes the paraneoplastic syndrome of tumor-induced osteomalacia (TIO). The majority of PMTs follow a benign clinical course and local recurrence occurs ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000006750

    authors: Qiu S,Cao LL,Qiu Y,Yan P,Li ZX,Du J,Sun LM,Zhang QF

    更新日期:2017-04-01 00:00:00

  • Subaortic stenosis revisited: the importance of the dynamic pressure gradient.

    abstract::Brachfeld and Gorlin's revised concept of subaortic stenosis derived from their recognition that the large magnitudes of the pressure gradients were incompatible with the relatively mild anatomic lesions found at surgery in 3 of their patients, and the rapidity of their arterial pulse upstroke. They proposed that a gr...

    journal_title:Medicine

    pub_type: 传,评论,历史文章,杂志文章

    doi:

    authors: Criley JM,Siegel RJ

    更新日期:1993-11-01 00:00:00

  • Epidermal growth factor receptor (EGFR) inhibitor induced purpuric drug eruption: Three case reports.

    abstract:INTRODUCTION:Purpuric drug eruption (PDE) is an uncommon, clinically distinct side effect of epidermal growth factor receptor (EGFR) inhibitors. PATIENT CONCERNS:Unlike acneiform eruption, which arises from hair follicles mainly in the head and neck area, PDE starts from xerosis cutis, primarily in the lower extremiti...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000018112

    authors: Fang SY,Wu CS,Liu YS,Wei KC

    更新日期:2019-11-01 00:00:00

  • Isolated Langerhans cell histiocytosis of the spleen: A case report.

    abstract:RATIONALE:Langerhans cell histiocytosis (LCH) is a relatively rare disorder characterized by the proliferation of abnormal Langerhans cells. Splenic involvement usually presents in children with multisystem LCH, and isolated LCH of the spleen is a very rare disease. Herein, we report a case of isolated splenic LCH in a...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000012378

    authors: Hong L,Sun G,Peng L,Tu Y,Li Y,Xiao W

    更新日期:2018-09-01 00:00:00

  • Improvement in renal prognosis with prompt hemodialysis in hyperosmolar hyperglycemic state-related rhabdomyolysis: A case report.

    abstract:RATIONALE:Acute kidney injury is common and correctable in patients with a hyperosmolar hyperglycemic state (HHS). Nevertheless, hyperglycemic crisis may also contribute to the development of rhabdomyolysis, which can worsen renal function and lead to high mortality in such patients. PATIENT CONCERNS:Herein, we report...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000013647

    authors: Chen IW,Lin CW

    更新日期:2018-12-01 00:00:00

  • Treatment of a patient with breast cancer and glucose 6-phosphate dehydrogenase deficiency: A case report.

    abstract:RATIONALE:Glucose 6-phosphate dehydrogenase (G6PD) deficiency is the most common enzymatic disorder of red blood cells that cause hemolytic anemia. Some anticancer drugs are reported to trigger oxidative stress; however, events of hemolysis are rarely discussed in patients with G6PD deficiency required oncologic treatm...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000014987

    authors: Chung WP,Hsu YT,Chen YP,Hsu HP

    更新日期:2019-03-01 00:00:00

  • A comparison of the efficacy and safety of traditional Chinese medicine external treatment for the knee osteoarthritis: A protocol for systematic review and network meta-analysis.

    abstract:BACKGROUND:Knee osteoarthritis (KOA), also known as degenerative osteoarthritis, is a common and frequently occurring disease in orthopedics with cartilage degeneration as the pathogenic cause and articular bone hyperplasia as the sign. Many studies have confirmed that KOA can be effectively treated by traditional Chin...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000024115

    authors: Song X,Wang Z,Zhang P,Zhao M,Yang L,Zhang W

    更新日期:2021-01-08 00:00:00

  • Multiple versus single doses of dexamethasone in total hip arthroplasty: A protocol of randomized controlled trial.

    abstract:BACKGROUND:Reduction of post-operative pain, nausea, and vomiting in patients undergoing total hip arthroplasty (THA) may facilitate earlier discharge from hospital and reduce healthcare costs. The recommended dose regimen of dexamethasone in THA has not been determined. The purpose of this study was performed to compa...

    journal_title:Medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/MD.0000000000020147

    authors: Zhang B,Sun S,Sheng B

    更新日期:2020-05-01 00:00:00

  • Open ligamentous complex disruption of the lateral ankle without dislocation or fracture: Two case reports.

    abstract:INTRODUCTION:Lateral ligamentous complex injury without fracture or dislocation is rare in the literature. Due to the rare injury, it is not clear yet about the proper treatment. This case report suggests a specific diagnosis of this injury as well as an appropriate surgical method. PATIENT CONCERNS:In one-month perio...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000017447

    authors: Chun DI,Kim J,Won SH,Yi Y,Kim YB,Cho J

    更新日期:2019-10-01 00:00:00

  • A new CO2 laser technique for the treatment of pediatric hypertrophic burn scars: An observational study.

    abstract::Treatment of hypertrophic scars arising as a result of thermal burns in children is still a big problem. The results of the treatment are not satisfactory for patients and parents, and new methods of treatment are still investigated.We present the use of one of the most modern carbon dioxide (CO2) lasers (Lumenis Enco...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000005168

    authors: Żądkowski T,Nachulewicz P,Mazgaj M,Woźniak M,Cielecki C,Wieczorek AP,Beń-Skowronek I

    更新日期:2016-10-01 00:00:00

  • Usefulness of AFP, AFP-L3, and PIVKA-II, and their combinations in diagnosing hepatocellular carcinoma.

    abstract::Alpha-fetoprotein (AFP), Lens culinaris-agglutinin-reactive fraction of AFP (AFP-L3), and protein induced by vitamin K absence or antagonist-II (PIVKA-II) are widely used as tumor markers for the diagnosis of hepatocellular carcinoma (HCC). This study compared the diagnostic values of AFP, AFP-L3, and PIVKA-II individ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000005811

    authors: Park SJ,Jang JY,Jeong SW,Cho YK,Lee SH,Kim SG,Cha SW,Kim YS,Cho YD,Kim HS,Kim BS,Park S,Bang HI

    更新日期:2017-03-01 00:00:00

  • Correlation Between Bladder Pain Syndrome/Interstitial Cystitis and Pelvic Inflammatory Disease.

    abstract::Pelvic inflammatory disease (PID) has been investigated in Western countries and identified to be associated with chronic pelvic pain and inflammation. Bladder pain syndrome/interstitial cystitis (BPS/IC) is a complex syndrome that is significantly more prevalent in women than in men. Chronic pelvic pain is a main sym...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000001878

    authors: Chung SD,Chang CH,Hung PH,Chung CJ,Muo CH,Huang CY

    更新日期:2015-11-01 00:00:00

  • Primary hypothyroidism and isolated ACTH deficiency induced by nivolumab therapy: Case report and review.

    abstract:RATIONALE:Nivolumab is a monoclonal IgG antibody blocking programmed death receptor-1 (PD1), leading to restoration of the natural T-cell-mediated immune response against the cancer cells. However, it also causes plenty of autoimmune-related adverse events, which often involves endocrine system. PATIENT CONCERNS:A 54-...

    journal_title:Medicine

    pub_type: 杂志文章,评审

    doi:10.1097/MD.0000000000008426

    authors: Zeng MF,Chen LL,Ye HY,Gong W,Zhou LN,Li YM,Zhao XL

    更新日期:2017-11-01 00:00:00

  • Efficacy and safety of image-guidance radiotherapy by helical tomotherapy in patients with lung cancer.

    abstract::This study aimed to explore the efficacy and toxicity of image-guided stereotactic body radiotherapy (IGSBR) by helical tomotherapy in patients with lung cancer among Chinese Han population.A total of 21 patients with stage I lung cancer were included. They received a total of 60 Gy factions IGSBR. The outcomes includ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000009243

    authors: Chen XR,Dong JN,Zhang F,Yao TL

    更新日期:2018-01-01 00:00:00

  • Interactive associations of sex and hyperlipidemia with calcific tendinitis of the shoulder in Taiwanese adults.

    abstract::Calcific tendinitis (CT) of the shoulder is a painful disorder usually identified in individuals aged 40 and 60 years. The estimated global prevalence of CT is 2.7% to 36%. We examined the association of hyperlipidemia and sex with CT of the shoulder using Taiwan Biobank (TWB) and the National Health Insurance Researc...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000023299

    authors: Lin CC,Nfor ON,Su CL,Hsu SY,Tantoh DM,Liaw YP

    更新日期:2020-11-13 00:00:00

  • Tumor-Infiltrating Immune Cells Are Associated With Prognosis of Gastric Cancer.

    abstract::Immune cells contribute to determining the prognosis of gastric cancer. However, their exact role is less clear. We determined the prognostic significance of different immune cells in intratumoral tissue (T), stromal tissue (S), and adjacent normal tissue (N) of 166 gastric cancer cases and their interactions, includi...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000001631

    authors: Liu K,Yang K,Wu B,Chen H,Chen X,Chen X,Jiang L,Ye F,He D,Lu Z,Xue L,Zhang W,Li Q,Zhou Z,Mo X,Hu J

    更新日期:2015-09-01 00:00:00

  • Pyoderma gangrenosum preceding the onset of extranodal natural killer/T-cell lymphoma: A case report.

    abstract:INTRODUCTION:Pyoderma gangrenosum (PG) is a neutrophilic dermatosis that may be associated with systemic diseases. The association of PG with lymphoid malignancies has rarely been reported. Extranodal natural killer/T-cell lymphoma (ENKTL) is a rare but aggressive entity with a poor prognosis. Here, we report the case ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000004997

    authors: Yang TH,Hu CH,Tsai HH

    更新日期:2016-10-01 00:00:00

  • Performance of the LACE index to identify elderly patients at high risk for hospital readmission in Singapore.

    abstract::Unplanned readmissions may be avoided by accurate risk prediction and appropriate resources could be allocated to high risk patients. The Length of stay, Acuity of admission, Charlson comorbidity index, Emergency department visits in past six months (LACE) index was developed to predict hospital readmissions in Canada...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000006728

    authors: Low LL,Liu N,Ong MEH,Ng EY,Ho AFW,Thumboo J,Lee KH

    更新日期:2017-05-01 00:00:00

  • Negative impact of preoperative platelet-lymphocyte ratio on outcome after hepatic resection for intrahepatic cholangiocarcinoma.

    abstract::The elevated platelet-to-lymphocyte ratio (PLR), determined using an easy blood test based on platelet and lymphocyte counts, is reported to be a predictor of poor survival in patients with several cancers. The prognostic role of preoperative PLR in patients with intrahepatic cholangiocarcinoma (ICC) has, until now, b...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000000574

    authors: Chen Q,Dai Z,Yin D,Yang LX,Wang Z,Xiao YS,Fan J,Zhou J

    更新日期:2015-04-01 00:00:00

  • Genetically determined ancestry is more informative than self-reported race in HIV-infected and -exposed children.

    abstract::The Pediatric HIV/AIDS Cohort Study (PHACS), the largest ongoing longitudinal study of perinatal HIV-infected (PHIV) and HIV-exposed, uninfected (PHEU) children in the United States, comprises the Surveillance Monitoring of Antiretroviral Therapy [ART] Toxicities (SMARTT) Study in PHEU children and the Adolescent Mast...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000004733

    authors: Spector SA,Brummel SS,Nievergelt CM,Maihofer AX,Singh KK,Purswani MU,Williams PL,Hazra R,Van Dyke R,Seage GR 3rd,Pediatric HIV\/AIDS Cohort Study (PHACS).

    更新日期:2016-09-01 00:00:00

  • A recurrence-free survivor with chemotherapy-refractory small cell lung cancer after pneumonectomy: A case report and review of the literature.

    abstract:RATIONALE:The optimal therapeutic regimen for chemotherapy-refractory and node-positive small-cell lung cancer (SCLC) is criticizable for the lack of evidence. PATIENT CONCERNS:A patient with locally advanced SCLC was insensitive to the first-line chemotherapy of etoposide, irinotecan, and cisplatin. DIAGNOSES:The pa...

    journal_title:Medicine

    pub_type: 杂志文章,评审

    doi:10.1097/MD.0000000000008922

    authors: Pan Y,Kong FW,Wang H,Wang X,Zhang H,Wu WB,Zhang M

    更新日期:2017-11-01 00:00:00

  • Vestibulo-ocular reflex tests may reflect unilateral Ménière disease progression: A cross-sectional study.

    abstract:ABSTRACT:Vestibular disorders can manifest several patterns of horizontal vestibulo-ocular reflex (VOR) impairment, which can be detected by caloric test and video head impulse test (vHIT). Several studies have examined the patterns of caloric-vHIT response in Ménière disease (MD). The purpose of this study was to inve...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000023706

    authors: Zhou R,Leng Y,Liu B

    更新日期:2020-12-24 00:00:00

  • The AESOP (adenopathy and extensive skin patch overlying a plasmacytoma) syndrome: report of 4 cases of a new syndrome revealing POEMS (polyneuropathy, organomegaly, endocrinopathy, monoclonal protein, and skin changes) syndrome at a curable stage.

    abstract::We describe an easily recognizable and previously not individualized clinical syndrome that can reveal solitary plasmacytoma of bone. We report 4 patients with a slowly extending violaceous skin patch overlying a solitary plasmacytoma of bone, associated with enlarged regional lymph nodes. Biopsies of the cutaneous le...

    journal_title:Medicine

    pub_type: 杂志文章,评审

    doi:10.1097/00005792-200301000-00005

    authors: Lipsker D,Rondeau M,Massard G,Grosshans E

    更新日期:2003-01-01 00:00:00

  • Association between serum uric acid and arterial stiffness in a low-risk, middle-aged, large Korean population: A cross-sectional study.

    abstract::We investigated the association between serum uric acid (SUA) and brachial ankle pulse wave velocity (baPWV) in an apparently healthy population. We performed a cross-sectional study on middle-aged Koreans who completed a yearly health-screening program between January and December 2014. Subjects with coronary artery ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000012086

    authors: Hwang J,Hwang JH,Chung SM,Kwon MJ,Ahn JK

    更新日期:2018-09-01 00:00:00

  • Effect of dexmedetomidine as an adjuvant to ropivacaine for wound infiltration in patients undergoing open gastrectomy: A prospective randomized controlled trial.

    abstract:OBJECTIVES:The primary objective of this study was to investigate whether dexmedetomidine could potentiate the analgesic efficacy of ropivacaine, when added to ropivacaine for wound infiltration in patients undergoing open gastrectomy. METHODS:Fifty patients scheduled for open gastrectomy were divided into 2 equal gro...

    journal_title:Medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/MD.0000000000007950

    authors: Luan H,Zhu P,Zhang X,Tian L,Feng J,Wu Y,Yan Y,Zhao Z,Gu X

    更新日期:2017-09-01 00:00:00

  • Clinical efficacy of xenon versus propofol: A systematic review and meta-analysis.

    abstract:BACKGROUND:Interest in the anesthetic use of xenon, a noble gas, has waxed and waned for decades, and the clinical effects of xenon are still debated. We performed a meta-analysis to compare the clinical efficacy of xenon with that of propofol. METHODS:Electronic searches were performed through December 2017 using var...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析

    doi:10.1097/MD.0000000000010758

    authors: Xia Y,Fang H,Xu J,Jia C,Tao G,Yu B

    更新日期:2018-05-01 00:00:00

  • Successful replantation of 2 digits in a patient with thrombocytosis after splenectomy: A case report.

    abstract:INTRODUCTION:Thrombosis is the most common complication of thrombocytosis, which can be particularly damaging to reattached digits. We present a guideline about digital replantation when thrombocytosis is expected. CASE PRESENTATION:We report a case of an 18-year-old man who sustained a traumatic amputation of two fin...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000010951

    authors: Hwang JH,Kim DW,Kim KS,Lee SY

    更新日期:2018-06-01 00:00:00

  • Breakage and migration of a high-speed dental hand-piece bur during mandibular third molar extraction: Two case reports.

    abstract:RATIONALE:Tooth extraction is a common dental surgical procedure. There is a possibility that various complications often occur during third molar tooth extractions. PATIENT CONCERNS:The authors report herein 2 cases of migration of a high-speed dental hand-piece bur during mandibular third molar extraction-one case w...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000019177

    authors: Matsuda S,Yoshimura H,Yoshida H,Sano K

    更新日期:2020-02-01 00:00:00

  • T cell immunoglobulin and mucin domain-3 is associated with disease activity and progressive joint damage in rheumatoid arthritis patients.

    abstract::T cell immunoglobulin and mucin domain-3 (TIM-3) is a surface molecule expressed on immune cells which play a role in immune regulation. The aims of the present study were to determine whether circulating soluble T cell immunoglobulin domain and mucin-3 (sTIM-3) are elevated in rheumatoid arthritis (RA) patients, and ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000022892

    authors: Matsumoto H,Fujita Y,Asano T,Matsuoka N,Temmoku J,Sato S,Yashiro-Furuya M,Watanabe H,Migita K

    更新日期:2020-10-30 00:00:00

  • Hepatitis C Virus Infection Associated With an Increased Risk of Deep Vein Thrombosis: A Population-Based Cohort Study.

    abstract::The association between the hepatitis C virus (HCV) infection and the risk of myocardial infarction (MI) and stroke has been previously investigated. However, the association between the HCV infection and the risk of venous thromboembolism (VTE) has not been extensively discussed. Using the Longitudinal Health Insuran...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000001585

    authors: Wang CC,Chang CT,Lin CL,Lin IC,Kao CH

    更新日期:2015-09-01 00:00:00