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A prospective hospital based study of childhood orthopaedic problems - a case series
1Associate Professor, Department of Orthopaedics & Trauma, North Eastern Indira Gandhi Regional Institute of Health & Medical Sciences (NEIGRIHMS) , Shillong, Meghalaya, India .
Insights
This study analyzed pediatric orthopedic cases, finding trauma, particularly fractures from outdoor play, to be the most common issue in children aged 11-15. Further research is recommended for a comprehensive understanding of pediatric orthopedic disorders.
Area of Science:
- Orthopedics
- Pediatric Medicine
- Public Health
Background:
- Children present with diverse orthopedic conditions including congenital bone diseases, nutritional deficiencies (rickets), infections, and trauma.
- Understanding the spectrum of pediatric orthopedic issues is crucial for effective healthcare delivery.
Purpose of the Study:
- To determine the prevalence, common orthopedic problems, and demographic profile of pediatric patients at NEIGRIHMS.
- To provide insights into the burden of pediatric orthopedic conditions in a tertiary care setting.
Main Methods:
- A prospective study was conducted over one year (May 2012-May 2013) at the Department of Orthopaedics, NEIGRIHMS, Shillong, India.
- Data collection focused on patients attending the orthopedic outpatient department.
Main Results:
- The most affected age group was 11-15 years (37.4%), followed by 0-5 years (25.6%).
- Trauma was the leading cause (51.6%), with male children predominantly affected.
- Outdoor play resulted in injuries (60.3%), with upper limb fractures being the most common presentation.
Conclusions:
- The study offers a foundational overview of pediatric orthopedic disorders in a tertiary care environment.
- Findings can inform the development of training modules for medical students in pediatric orthopedics.
- Community-based studies are needed to ascertain the precise prevalence and incidence of these disorders.
Introduction:
Children may present to an orthopaedic surgeon with congenital bone diseases, nutritional disorders like rickets, infective or traumatic due to fall etc of bones and joints.
Aim:
To know the percentage, common orthopaedic problems and demographic profile of paediatric orthopaedic problem in patients attending the orthopaedic OPD of NEIGRIHMS.
Materials And Methods:
The prospective study was conducted for the duration of one year from May'2012-May'2013 in the Department of Orthopaedics in North Eastern Indira Gandhi Regional Institute of Health & Medical Sciences (NEIGRIHMS), Shillong, India.
Results:
In our study majority of the patients were in the age group of 11-15 y (37.4%), followed by the group of 0-5 y (25.6%). Majority of the paediatric orthopaedic patients came from the group of Rs.10,000/- to 30,000/- monthly income families (56.2%). The study showed that in majority (51.6%) of the cases trauma was the major cause for bringing the child to the medical center. Male children were most commonly affected, with playing as the most common mode of injury especially outdoor (60.3%) and fractures especially of upper limb were the most common form of presentation.
Conclusion:
Our study here has given the bird's eye view of various pediatric orthopedic disorders as may be found in a tertiary health care setting. This may help in formulating training modules for the medical students in the subspecialty of pediatric orthopedics. However, more community based cross-sectional studies may be required to be undertaken to determine the prevalence & incidence of the various disorders found in our patients.