Yong-Wook Kwon; Soon-Hyuck Lee; Hyun-Woo Kim; Jin-Ho Hwang

doi:10.12671/jkfs.2014.27.4.308

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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.; 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

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
NOTES
REFERENCES

Abstract

Purpose
The purpose of this article is to report on the pattern of medical process and relative frequencies of fractures in children and adolescents.
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.
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.
Conclusion
The authors reviewed the pattern of medical process and relative frequencies of fractures in children and adolescents.
Key words: Children, Adolescent, Pediatric fracture, Epidemiology, Health insurance

Financial support: This study was supported by a 2011-Grant from Korean Academy of Medical Sciences.

Conflict of interest: None.

REFERENCES

1. Lee SH, Jeong WK, Kim HW, et al. Upper extremity fractures in children: prospective epidemiological study of tertiary medical institutes. J Korean Orthop Assoc, 2007;42:270-275.Article
2. Suk SI, Yoon YH, Song KS. Orthopaedics. 7th ed. Seoul: Choisinuihaksa; 2013. p. 1539-1547.
3. Kim HY, Park KY, Lee KW, Ahn JH, Yeom JS, Choi YS. Musculo-skeletal trauma of the children. J Korean Fract Soc, 2001;14:128-134.Article
4. Hedström EM, Svensson O, Bergström U, Michno P. Epidemiology of fractures in children and adolescents: Increased incidence over the past decade: a population-based study from northern Sweden. Acta Orthop, 2010;81:148-153.PubMed PMC
5. Cho CH, Song KS, Sohn SW, Bae KC, Lee JH. Lateral condylar fracture of the humerus in children: an epidemiological analysis of 158 cases. J Korean Fract Soc, 2006;19:466-470.Article
6. Park MS, Chung CY, Choi IH, et al. Incidence patterns of pediatric and adolescent orthopaedic fractures according to age groups and seasons in South Korea: a population-based study. Clin Orthop Surg, 2013;5:161-166.Article PubMed PMC
7. Chung DE, Kim KD, Oh SH. Clinical observation on children's fractures. J Korean Orthop Assoc, 1981;16:130-139.Article PDF
8. Park SR, Sohn SK, Park CI, Lee KH. Clinical study on children's fractures. J Korean Orthop Assoc, 1983;18:297-310.Article PDF

Fig. 1

Monthly occurrence pattern of children and adolescents fracture.

Fig. 2

Fracture incidence by hospital size.

Fig. 3

Fracture incidence by age.

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

Figure & Data

REFERENCES

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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

J Korean Fract Soc. 2014;27(4):308-314. Published online October 31, 2014

DOI: https://doi.org/10.12671/jkfs.2014.27.4.308

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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

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

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

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