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Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects
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School-related fractures.

Ståle Clementsen1, Per-Henrik Randsborg2

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Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
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Summary

Daily physical education (PE) classes are proposed to combat childhood obesity. However, school-related fractures are increasing. This study found PE classes have a lower fracture rate than many leisure activities, making them a safe option.

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Area of Science:

  • Pediatric Orthopedics
  • Sports Medicine
  • Public Health

Background:

  • Childhood obesity is a growing concern, with daily physical education (PE) classes proposed as a solution.
  • Concurrently, there's an observed rise in activity-related fractures among children.
  • Previous research indicates varying fracture rates across different sports.

Purpose of the Study:

  • To determine the prevalence of school-related fractures in children aged 6-16.
  • To compare the fracture risk associated with physical education (PE) classes against other activities.

Main Methods:

  • A 12-month prospective study recorded fractures in children aged 6-16 within a defined hospital catchment area.
  • Fracture data included details on occurrence during school hours, supervised after-school activities (SFO), or commutes.
  • Injuries were classified by activity, time of day, and anatomical location.

Main Results:

  • Out of 1,144 total fractures, 422 (37%) were school-related, equating to 8.5 fractures per 1000 children.
  • The majority of school fractures (65.4%) occurred outdoors, with 22.3% happening during PE classes.
  • The fracture rate for PE was 0.29 per 10,000 hours, significantly lower than snowboarding, handball, football, and trampolining.

Conclusions:

  • The fracture rate during PE classes is lower compared to several common leisure activities.
  • Implementing daily PE classes is a safe and beneficial strategy to increase children's physical activity.
  • PE classes present a favorable risk-benefit profile for promoting children's health and activity levels.