Long bone fracture characteristics in children with medical conditions linked to bone health.
Child Abuse Negl
; 103: 104396, 2020 05.
Article
en En
| MEDLINE
| ID: mdl-32135374
ABSTRACT
BACKGROUND:
Knowledge of fracture characteristics among children with medical conditions affecting bone could help to distinguish medical causes from child abuse.OBJECTIVE:
Characterize long bone fracture morphology among children diagnosed with medical conditions linked to bone health. PARTICIPANTS ANDSETTING:
Patients <18 years at a single pediatric hospital diagnosed with a medical condition linked to bone health and ≥1 long bone fracture were studied.METHODS:
This retrospective medical record review categorized underlying medical diagnoses as metabolic bone disease, genetic disorder of connective tissue, neurologic disorder and other chronic disease. A pediatric radiologist reviewed plain films to determine fracture type and location. Descriptive statistics, as well as logistic regression were used to compare fracture types by clinical characteristics.RESULTS:
Ninety-four patients were included and their diagnoses were genetic connective disorder (19; 20.2 %), metabolic bone disease (16; 17.0 %), neurologic disorder (27; 28.7 %), and other (32; 34.0 %). A total of 216 long bone fractures were sustained; 52.1 % of children had >1 long bone fracture. Of the 216 fractures, 55 (25.5 %) were in children < 1 year, 118 (54.6 %) were associated with known trauma, and 122 (56.5 %) were in non-ambulatory patients. Lower extremity fractures occurred with greatest frequency and most fractures occurred at the mid-diaphysis. Transverse was the most common fracture type in all diagnostic categories. Children with metabolic disorders had highest odds of transverse fracture (COR 3.55, CI 1.45-8.67; neurologic disorders as reference group).CONCLUSIONS:
Diseases affecting bone health can influence fracture morphology. Transverse fractures were most common in bones impacted by disease.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Enfermedades Óseas
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Maltrato a los Niños
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Fracturas Óseas
Tipo de estudio:
Diagnostic_studies
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
Límite:
Adolescent
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Child
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Child, preschool
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Female
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Humans
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Infant
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Male
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Newborn
Idioma:
En
Revista:
Child Abuse Negl
Año:
2020
Tipo del documento:
Article