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Age-dependent changes in pediatric scaphoid fracture pattern on radiographs.
Jie C Nguyen1,2, Michael K Nguyen3, Alexandre Arkader4,5
1Department of Radiology, Children's Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA, 19104, USA. nguyenj6@email.chop.edu.
Skeletal Radiology
|June 27, 2020
Summary
Younger children with scaphoid fractures are more prone to distal corner and distal body breaks and obesity. Older children more frequently sustain mid and proximal body fractures.
Area of Science:
- Pediatric Orthopedics
- Radiology
- Sports Medicine
Background:
- Scaphoid fractures are common in children, but age-related patterns are not well-defined.
- Understanding these patterns is crucial for accurate diagnosis and treatment in pediatric populations.
Purpose of the Study:
- To investigate age-dependent changes in scaphoid fracture prevalence and fracture patterns in children under 15 years.
- To explore associations between age, fracture characteristics, and obesity in pediatric scaphoid fractures.
Main Methods:
- Retrospective review of 180 pediatric scaphoid fractures from radiographic examinations (2009-2019).
- Radiographs analyzed for fracture location, orientation, visibility, displacement, and concomitant fractures.
- Statistical analysis to assess associations between age, fracture characteristics, and BMI percentile.
Main Results:
- Younger children (<15 years) more frequently presented with distal corner and distal body scaphoid fractures.
- Older children were more likely to have mid and proximal body fractures (p=0.035).
- Younger children with scaphoid fractures showed a higher likelihood of obesity (p=0.038).
Conclusions:
- Age-dependent variations in scaphoid fracture patterns exist in children.
- Distal corner and distal body fractures are more prevalent in younger children, who are also more likely to be obese.
- No significant age-related differences were observed in fracture visibility, orientation, gap, displacement, or concomitant fractures.
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