Patterns of accidental fractures and dislocations in children in Riyadh, Saudi Arabia.
A study of 1456 confirmed cases of accidental fractures and dislocation in children was conducted to examine the patterns of fractures and dislocations, age and sex distribution, and the causes and possible prevention of such mishaps. Dislocations were uncommon and accounted for less than 1% of the total. There were more fractures of the upper than lower limbs, and the most commonly encountered fractures were: forearm (39.6%), humerus (12%/), clavicle (11%), tibia and fibula (10.6%), and femur (5.6%). The male to female ratio was 2.3 to 1, and the risk of injury appeared to be higher in preschool children (2-6 years) and in adolescents (12-14 years). Non-road traffic accidents were the cause of 93% of the cases. It was concluded that supervision of the younger age groups and health education of the older age groups may decrease the incidence of injury in children.
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Orthopaedic Division, College of Medicine, King Saud Univesity and King Khalid University Hospital, Riyadh, Saudi Arabia.