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Firearm-Related Musculoskeletal Injuries in Brazilian Children and Teenagers
Renato Fedatto Beraldo1, Edilson Forlin2
1Faculdade de Medicina, Universidade Federal do Paraná, Curitiba, PR, Brasil.
Revista Brasileira De Ortopedia
|December 26, 2019
Summary
Firearm injuries in children and adolescents frequently affect males and involve lower limb trauma, often resulting in complex musculoskeletal damage. While fractures occurred in less than half, many patients experienced severe complications and sequelae.
Area of Science:
- Orthopedics
- Trauma Surgery
- Pediatric Surgery
Background:
- Musculoskeletal injuries from firearms represent a significant public health concern in pediatric populations.
- Understanding the patterns and outcomes of these injuries is crucial for effective trauma care and prevention strategies.
Purpose of the Study:
- To characterize the epidemiology and clinical features of firearm-related musculoskeletal injuries in patients under 18 years old.
- To describe the types of injuries, treatments, and outcomes, including complications and mortality.
Main Methods:
- Retrospective analysis of medical records from a major trauma center between January 2014 and December 2016.
- Inclusion criteria: patients <18 years old with firearm-related injuries and musculoskeletal involvement.
- Data collected included demographics, injury site, fractures, associated injuries, surgical interventions, hospitalization, and mortality.
Main Results:
- 126 patients were included; 84.9% were male, with a mean age of 15 years and 5 months.
- The thigh was the most common injury site (24.7%), and femur fractures were most frequent (15.5%).
- 46% had fractures, 41.3% had associated injuries, 29.4% required orthopedic surgery, and 4.8% died.
Conclusions:
- Adolescent males are a high-risk group for firearm-related musculoskeletal injuries, predominantly affecting the lower extremities.
- These injuries can be complex, leading to significant sequelae even without fractures.
- Targeted prevention and specialized trauma management are essential for this vulnerable population.
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