Fractures in children
C U Nwadinigwe1, C O Ihezie, E C Iyidiobi
1National Orthopaedic Hospital, Enugu, Nigeria.
Summary
Paediatric fractures are common in our setting, often resulting from road traffic accidents and falls. Early intervention and prevention strategies are crucial to reduce severe complications, particularly those arising from traditional bone setters.
Area of Science:
- Orthopaedic surgery
- Paediatric trauma care
Background:
- Infections and malnutrition dominate childhood diseases, overshadowing paediatric trauma.
- Paediatric fractures receive limited attention and advocacy.
- This study reviews the pattern of paediatric fractures in a local setting.
Purpose of the Study:
- To describe the epidemiology of paediatric fractures.
- To identify common causes and fracture sites in children.
- To analyze treatment modalities and outcomes.
Main Methods:
- Retrospective review of medical records of children under 14 years admitted for major trauma.
- Data collected from January 1999 to December 2003.
- Incomplete records were excluded.
Main Results:
- Road traffic accidents (51%) and falls from height (41.8%) were primary causes.
- Femoral shaft fractures were most common (33.7%), followed by humerus and distal radius fractures.
- Delayed presentation from traditional bone setters led to complications like compartment syndrome and gangrene.
Conclusions:
- Paediatric fractures are prevalent and associated with significant morbidity, often due to traditional bone setter interference.
- These injuries are preventable through targeted strategies for parents, children, and road users.
- Reducing the burden of paediatric fractures is vital, especially in developing countries.
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Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History: