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Original Article
- The Pattern of Occurrence of Fractures in Children and Adolescents and Its Managements Based on the Database of the Health Insurance Review and Assessment Service
- Yong-Wook Kwon, M.D., Soon-Hyuck Lee, M.D., Hyun-Woo Kim, M.D., Jin-Ho Hwang, M.D.
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Journal of the Korean Fracture Society 2014;27(4):308-314.
DOI: https://doi.org/10.12671/jkfs.2014.27.4.308
Published online: October 20, 2014
Department of Orthopedic Surgery, Inje University Busan Paik Hospital, Inje University College of Medicine, Busan, Korea.
*Department of Orthopedic Surgery, Korea University Anam Hospital, Korea University College of Medecine, Seoul, Korea.
†Department of Pediatric Orthopaedics, Severance Children's Hospital, Yonsei University College of Medicine, Seoul, Korea.
- Address reprint requests to: Soon-Hyuck Lee, M.D. Department of Orthopedic Surgery, Korea University Anam Hospital, 73 Inchon-ro, Seongbuk-gu, Seoul 136-705, Korea. Tel: 82-2-920-5925, Fax: 82-2-924-2471, soonlee@korea.ac.kr
• Received: May 6, 2014 • Revised: September 10, 2014 • Accepted: September 15, 2014
Copyright © 2014 The Korean Fracture Society. All rights reserved.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
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Abstract
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Purpose
- The purpose of this article is to report on the pattern of medical process and relative frequencies of fractures in children and adolescents.
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Materials and Methods
- The authors retrospectively analyzed the database of the health insurance review and assessment service regarding children and adolescents under 20 years old treated from 2008 to 2010. Newly registered numbers of fractures in children and adolescents according to sex, month, institution, and anatomical location were also reviewed.
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Results
- A total of 1,893,416 fractures occurred during three years; approximately 630,000 cases were treated during one year (approximately 562 cases among 10,000 people during one year). During one year, the most fractures occurred in June and the least in February. Senior general hospital consisted of 5.72%, 12.30% in general hospital, 19.28% in hospital, and 62.70% in clinics. Among the fracture sites, 0.05% were cervical fractures, 0.91% in sternum and thoracic vertebra, 1.35% in lumbar vertebra and pelvis, 12.79% in shoulder and upper extremities, 26.87% in lower extremities, 38.10% in wrist and hand, 1.01% in femur, 10.40% in lower extremities including ankle, and 8.52% in foot excluding ankle. The maximal incidence was age 14 years in male and 12 years in female.
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Conclusion
- The authors reviewed the pattern of medical process and relative frequencies of fractures in children and adolescents.
Financial support: This study was supported by a 2011-Grant from Korean Academy of Medical Sciences.
Conflict of interest: None.
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Fig. 1
Monthly occurrence pattern of children and adolescents fracture.
Fig. 2
Fracture incidence by hospital size.
Fig. 3
Fracture incidence by age.
Fig. 1
Fig. 2
Fig. 3
The Pattern of Occurrence of Fractures in Children and Adolescents and Its Managements Based on the Database of the Health Insurance Review and Assessment Service
The Number of Monthly Occurrence and Average of Children and Adolescents Fracture
Values are presented as number, number (%), or mean (%).
Fracture Incidence by Hospital Size (%)
Fracture Incidence by Age (%)
Comparison Children and Adolescents Fracture Pattern Between Papers
Table 1
The Number of Monthly Occurrence and Average of Children and Adolescents Fracture
Values are presented as number, number (%), or mean (%).
Table 2
Fracture Incidence by Hospital Size (%)
Table 3
Fracture Incidence by Age (%)
Table 4
Comparison Children and Adolescents Fracture Pattern Between Papers
