Indian Journal of Orthopaedics Surgery


Epidemiological analysis of elbow fractures in kashmiri children


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Author Details: Shamim Ahmad Bhat, Raja Rameez Farouqi, Mehmood Ul Hassan, Tabish Tahir Kirmani, Khurshid Ahmad Kang

Volume : 2

Issue :

Online ISSN : 2395-1362

Print ISSN : 2395-1354

Article First Page : 48

Article End Page : 51


Abstract

Background: The aim of this study was to look at the epidemiology of elbow fractures in children in Kashmir region who were treated at a major trauma institute, the hospital for Bone and Joint Surgery Srinagar for two years.
Method: In this retrospective study over a two year period we studied 550 children with elbow fractures who were treated at Bone and Joint Surgery Hospital Srinagar, Kashmir. Each case was studied with respect to age, sex, trauma side, fracture type, associated injuries and the mechanism leading to trauma.
Results: annual incidence of elbow fractures was 275. Among all fractures analysed during this interval of time, elbow fractures accounted for 31.51% of all fractures, which was second only to forearm fractures (35.53%) and femur fractures constituted the third (26%). Rest of the fractures (8%) constitued fractures of leg bone, clavicle, proximal humerus and others. Average age was 6 years. Most of the children were of age group 4 to 6 years. Among all elbow fractures males constituted 72% of all fractures and female children were 28% with male to female ratio of 3: 1. Left side dominated among all fracture types and constituted 70% of all fractures. Supracondylor fractures constituted 65% of all fractures.  Most common mechanism of trauma was due to fall in recreational accidents (90%). Compound fractures constituted 2% of all fractures and the associated lesions were present in 5% of cases. Most of the associated injuries were fractures of the distal forearm(44%) and mid forearm(20%). Rest associated fractures included fracture clavicle(15%), proximal humerus (14%), hand (5%) and scapula(2%).

Key words
: Elbow, Children, Fracture, Supracondylar, Kashmir, Injury, Retrospective