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[Epidemiological survey of wrist fractures in children]
S Lautman1, F Bergerault, C Bonnard
1CHU Tours, Centre de Pédiatrie Gatien de Clocheville, 49, boulevard Béranger, 37044 Tours Cedex.
Purpose Of The Study:
The incidence of wrist fractures is increasing in children. We undertook an epidemiological survey in western France to determine characteristic features.
Material And Methods:
A prospective multicentric study was conducted over one year in five university hospital centers in western France. The survey included 839 wrist fractures in children aged 6 to 16 years. The following criteria were recorded: age and gender, date and energy of the trauma, side and description of the fracture. Displacement was measured on the AP and lateral radiographs.
Results:
The boys were older than the girls at the time of the wrist fractures, generally during the summer season (May to October). The left wrist was involved in 55% of the fractures; 83% were metaphyseal fractures. Fractures with epiphyseal detachment were more frequent in adolescents and occurred after high-energy trauma. Metaphyseal fractures were more common in girls than in boys. Displacement was greater in older children, particularly in case of epiphyseal detachment.
Discussion:
We did not observe the male predominance often reported in our country. The girls probably practice sports as much as boys.
