A Comprehensive Review of Bone Health in a Child: From Birth to Adulthood

Journal of the American Academy of Orthopaedic Surgeons, Journal Year: 2024, Volume and Issue: 32(9), P. 363 - 372

Published: Jan. 23, 2024

Bone health is critical for growth and development during childhood. Although fractures are common in children, occurring the absence of trauma should prompt physicians to consider underlying bone disorders. This article provides an overview current definition osteoporosis highlighting its limitations potential underdiagnosis. It also discusses timing screening initiation various techniques used assess health, along with their respective benefits limitations. In addition, this identifies several causes primary secondary shedding light on previously overlooked disorders that can contribute poor quality. The emphasizes importance a multidisciplinary approach therapeutic management aims optimize patient outcomes improve overall care pediatric

Language: Английский

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Influence of COVID-19 pandemic on hospitalisations at a paediatric traumatology department during 2020: a single-centre observational study and comprehensive literature review

European Journal of Trauma and Emergency Surgery, Journal Year: 2024, Volume and Issue: 50(2), P. 591 - 601

Published: Jan. 30, 2024

The study investigates changes in the injury characteristics of hospitalised children a paediatric trauma centre during COVID-19 pandemic.

Language: Английский

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Characterization and mapping of upper extremity fractures in children by a tertiary hospital quarantine and post-quarantine period

Joint Diseases and Related Surgery, Journal Year: 2024, Volume and Issue: unknown

Published: July 8, 2024

This study aims to categorize and map the incidence patterns of upper extremity fractures in children during after novel coronavirus disease 2019 (COVID-19) quarantine identify changes demographic characteristics mechanisms these fractures.

Language: Английский

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The Impact of the COVID-19 Pandemic on the Epidemiology and Management Strategies of Forearm Fractures in Children—a Retrospective Study

Children, Journal Year: 2024, Volume and Issue: 11(12), P. 1495 - 1495

Published: Dec. 8, 2024

Background: The COVID-19 pandemic has had a considerable influence over the management strategies in pediatric trauma all world. We are making comparative assessment of forearm fracture presentations tertiary center Romania pre-pandemic year 2019 (NPG) versus 2021 (PG). Material and Methods: retrospectively compared epidemiological, anatomopathological, features fractures for two years. Results: A total 1403 patients with fractures, 720 NPG 683 PG, ages < 1 year–19 years (mean = 9.38 mean PG 9.39 years), were included study. There no differences demographics patients. was an increase angulation ratio group other anatomopathological features. Most treated by non-surgical means between groups. In titan elastic nails more often used than K-wire stabilization diaphyseal fractures. difference terms complication rates reinterventions number hospital admissions (p 0.01) length stay significantly higher 0.01). Conclusions: little impact on epidemiology, features, children. only significant change medical strategy our series towards reducing hospitalization rate duration, follow-up visits.

Language: Английский

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Impacts of COVID-19 pandemic on pediatric fractures: a 4-year evaluation of epidemiology and delayed treatment from prepandemic to pandemic period at a tertiary referral hospital

Annals of Medicine and Surgery, Journal Year: 2023, Volume and Issue: 85(9), P. 4300 - 4306

Published: July 7, 2023

Background: Definitive fracture surgery should be performed as soon the patient’s condition allows. However, there may some delays in treatment during a pandemic. Objective: This study aimed to investigate and compare epidemiology pediatric management pandemic prepandemic periods terms of how many cases were delayed, long delays, causes for treatment. Methods: comparative-retrospective was conducted tertiary referral hospital Yogyakarta, Indonesia. The authors included all patients who presented from 1 December 2019 30 November 2021 (pandemic group period) 2017 (prepandemic period). collected data included: patients’ age sex, fractured bone, type, concurrent fracture, stay duration, treatment, need multidisciplinary interval arrival reasons delayed surgical obtained medical records. Results: Results showed decrease 2 years period compared (75 vs. 135 cases). There no significant difference evaluated parameters demographic, bone other department involvement, fracture. most common reason definitive delay improvements ( n =63, 79.7%) it significantly associated with approach (22.83 isolated orthopedic 87.5% cases; P =0.000). Conclusion: 2-year period. mainly due approach.

Language: Английский

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The Effect of the COVID-19 Pandemic on Early Adolescent Fractures in the Republic of Korea

Medicina, Journal Year: 2023, Volume and Issue: 59(9), P. 1671 - 1671

Published: Sept. 15, 2023

Background and Objectives: Restrictions on daily activities to slow down the propagation of COVID-19 have changed epidemiological pattern pediatric fractures in many countries. However, effect pandemic has not been fully studied. In this study, we investigated impact early adolescent Korea. Materials methods: We conducted a retrospective follow-up nationwide cohort Korean adolescents born between 2006 2009. The prevalence incidence frequency surgical treatment were compared two different eras. Results: during both shown significant decrease: reduced from 34,626 24,789 (p < 0.001), while decreased 29,804 18,898 0.001). Considering sex, shift fracture was statistically = 0.020), whereas 0.862). decline exhibited variation across birth year groups (prevalence, p 0.001; incidence, with more pronounced reduction observed older age groups. While proportion patients who required surgeries increased, mean per patient remained at similar level (by prevalence, 0.181; by 0.735). relation sites decrease distal limb an increase forearm axial body fractures. Conclusions: Korea notably influenced pandemic, warranting further investigation into causal factors. Our findings should help predict epidemiology post-pandemic period thus aid policymaking management.

Language: Английский

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Epidemiology of Pediatric Fractures and Effect of Socioeconomic Status on Fracture Incidence in Türkiye: A Nationwide Analysis of 2 Million Fractures

Journal of Pediatric Orthopaedics, Journal Year: 2024, Volume and Issue: 45(4), P. e331 - e337

Published: Dec. 6, 2024

Childhood fractures are an important public health issue worldwide as they potentially lead to long-term complications. This is the first study reporting a nationwide data pool of 2 million children. We aimed investigate epidemiology pediatric by sex, age, geographical region, and socioeconomic status (SES). Medical records children diagnosed with between 2016 2022 were collected from Türkiye's e-health database. Fractures divided into 16 anatomic locations. Age was evaluated in four categories: <5, 5-9, 9-14, 15-19 years. Regional rankings stratified based on SES. A total 1,989,212 analyzed (1,371,398 boys, 617,814 girls). The overall fracture incidence 1117/100,000 person-years, being higher for boys (n=1501) compared girls (n=713) ( P <0.001). mean 0 19 years age 21.2% (boys: 28.5%; girls: 13.5%). increased peaking at 10 14 all decreasing thereafter. 4 most common locations upper extremities. Wrist accounted 28.9% (575,192) fractures. Provinces SES had significantly risks. provides accurate epidemiological analysis childhood Turkish population landmark literature. One fifth experienced before maturity. results highlight influence rates, more urbanized developed areas elevated risk Level III-diagnostic.

Language: Английский

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The need for pediatric indoor physical training guidelines during COVID-19 pandemic–related lockdown: where do we stand?

European Journal of Pediatrics, Journal Year: 2022, Volume and Issue: 181(4), P. 1737 - 1737

Published: Jan. 31, 2022

Language: Английский

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