title: Fracture patterns in Nottingham children.
abstract: The incidence and pattern of fractures in children less than or equal to 12 years of age living in Nottingham, England, have been reviewed. The annual incidence rate is 16/1,000 children. Fractures are rare in those less than 18 months of age, and incidence increases with age. The most common cause of fracture was a fall in or around the home; the incidence rate of fractures after road traffic accidents was similar in all age groups. Fractures of the distal radius and ulna accounted for 35.8% of all fractures seen, with hand fractures the second largest group (14.7%). The most common fracture type was a green-stick fracture (51.6%), and 18.5% of fractures were epiphyseal injuries. Epiphyseal injuries in children less than 5 years of age, were uncommon whereas spiral/oblique fractures were more common. Rotational trauma is more likely to cause a spiral or oblique shaft fracture in a younger child and an epiphyseal fracture in an older child.
mesh_terms: D000061:Accidents, Home; D000063:Accidents, Traffic; D000367:Age Factors; D001265:Athletic Injuries / Q000453:epidemiology; D002648:Child; D002675:Child, Preschool; D004739:England; D005260:Female; D005543:Forearm Injuries / Q000453:epidemiology*; D050723:Fractures, Bone / Q000145:classification / Q000453:epidemiology* / Q000209:etiology; D006230:Hand Injuries / Q000453:epidemiology; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male