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The Distribution of Paediatric Forearm Fractures: A Five-Year Retrospective Cohort Study of 4546 Forearm Fractures in
Hans-Christen Husum1,2, Søren Kold2, Ole Rahbek2
1Department of Radiology, Randers Regional Hospital, 8930 Randers, Denmark.
Background:
Forearm fractures are the most common fractures in children, accounting for 41% of all paediatric fractures. Most research focuses on distal forearm fractures, but studies encompassing the entire forearm are limited.
Objective:
This retrospective study describes the distribution and patterns of paediatric forearm fractures over a five-year period.
Methods:
We conducted a retrospective cohort study of children aged 0-15 years who received a radiograph of the forearm, wrist or elbow between March 2019 and December 2023 in the study region. Fractures were manually identified and registered from radiological reports. Fracture location, type (complete/incomplete), and epiphyseal involvement were analyzed across different age groups. Statistical analysis was performed using chi-square tests and descriptive statistics.
Results:
We identified 4547 forearm fractures from 4291 children. The median age was 10 years, and 57% of the patients were male. Fracture patterns varied significantly across age groups (p < 0.001), with older children experiencing more distal, complete, radial, and epiphyseal fractures. Younger children had a higher proportion of incomplete fractures and fewer distal or epiphyseal fractures. No significant differences in Salter-Harris classifications were found between age groups (p = 0.69).
Conclusions:
Fracture patterns in paediatric forearm fractures vary with age, with older children showing a higher incidence of complete, distal, and epiphyseal fractures. This study provides a detailed characterization of paediatric forearm fractures, which may inform clinical management and preventive strategies, particularly in tailoring age-specific care. Further research should explore the long-term outcomes of these fracture patterns.
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