Upper extremity open fractures in hospitalized road traffic accident patients: adult versus pediatric cases

Guy Rubin, Kobi Peleg, Adi Givon, Nimrod Rozen

Research output: Contribution to journalArticlepeer-review

Abstract

BACKGROUND: Fractures in pediatrics show epidemiological characteristics which are different from fractures in adults. The objective of this study was to examine the injury profiles of open upper extremity fractures (UEFs) in all modes of injury related to road traffic accidents (RTAs) in adult and pediatric hospitalized patients.

METHODS: Data on 103,465 RTA patients between 1997 and 2013 whose records were entered in a centralized country trauma database were reviewed. Data on open UEFs related to mode of injury (car, motorcycle, bicycle, and pedestrian) was compared between adult (18+ years) and pediatric (0-17 years) RTA patients.

RESULTS: Of 103,465 RTA cases, 17,263 (16.7%) had UEFs. Of 73,087 adults, 13,237 (18.1%) included UEFs and of 30,378 pediatric cases, 4026 (13.2%) included UEFs (p < 0.0001). Of 17,263 cases with UEFs, we reviewed 22,132 fractures with 2, 743 (12.4%) open fractures. Adults had a greater risk for open fractures (2221, 13%) than the pediatric cases (522, 10.3%) (p < 0.0001). Overall, of a total of 22,132 UEFs, most of the fractures were in the radius (22.8%), humerus (20.3%), clavicle (17.5%), and ulna (15.4%). The adult pedestrian group had a significantly higher risk for open UEFs than the pediatric group (11 vs 8%, p = 0.0012).

CONCLUSIONS: This study demonstrates the difference between adult and pediatric open fractures in hospitalized RTAs. We showed that adults had a greater risk for open UEFs compared to children, and the adult pedestrian group particularly had a significantly higher risk for open UEFs than the pediatric group.

Original languageEnglish
Pages (from-to)157
Number of pages1
JournalJournal of Orthopaedic Surgery and Research
Volume12
Issue number1
DOIs
StatePublished - 24 Oct 2017
Externally publishedYes

Keywords

  • Adult
  • Bicycle
  • Car
  • Epidemiology
  • Motorcycle
  • Open fracture
  • Pedestrian
  • Pediatric
  • Road traffic accident
  • Upper extremity

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