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Upper extremity fractures among hospitalized pediatric road traffic accident victims

Guy Rubin1, Kobi Peleg2, Adi Givon2

  • 1Orthopaedic Department, Ha'Emek Medical Center, Afula, Israel; Faculty of Medicine, Technion, Haifa, Israel.

The American Journal of Emergency Medicine
|March 2, 2015
PubMed

Insights

Pediatric road traffic accidents (RTAs) frequently cause upper extremity fractures (UEFs). Motorcycle and bicycle riders face higher risks, often sustaining associated head, neck, and chest injuries.

Area of Science:

  • Orthopedics
  • Trauma Surgery
  • Pediatric Traumatology

Background:

  • Road traffic accidents (RTAs) are a significant cause of pediatric disability, particularly upper extremity fractures (UEFs).
  • Previous research on pediatric UEFs from RTAs often involved limited patient cohorts.
  • Understanding the epidemiology of UEFs in children is crucial for effective prevention and treatment strategies.

Purpose of the Study:

  • To analyze the injury profiles of pediatric upper extremity fractures resulting from all mechanisms of road traffic accidents.
  • To establish the largest available database for pediatric UEFs related to RTAs.
  • To investigate the frequency, associated injuries, and patterns of multiple UEFs in this population.

Main Methods:

  • A retrospective review of 27,831 pediatric patients hospitalized for RTAs between 1997 and 2012.
  • Analysis of data from a centralized national trauma database, focusing on UEFs and injury mechanisms (car, motorcycle, bicycle, pedestrian).
  • Evaluation of associated injuries, occurrence of multiple UEFs, and fracture locations.

Main Results:

  • 13.2% of pediatric RTA cases (3,666 patients) involved UEFs.
  • Motorcycle and bicycle riders exhibited significantly higher risks for UEFs (18% each).
  • Pedestrians (82%) and motorcycle riders (78%) had a greater risk of associated injuries, predominantly to the head/face/neck (70%), lower extremities (36%), and chest (28%).
  • 22% of cases had multiple UEFs, with bicycle riders at higher risk (28%).
  • Commonly fractured bones included the radius (27%), humerus (25%), ulna (18%), and clavicle (17%).

Conclusions:

  • This study presents the most extensive dataset on pediatric UEFs from RTAs across all injury mechanisms.
  • The findings highlight specific risks for motorcycle and bicycle riders regarding UEFs and associated injuries.
  • The research provides valuable epidemiological insights into pediatric UEFs, aiding in targeted injury prevention and clinical management.
Abstract

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