The Changes in Patient Pattern for Pediatric Supracondylar and Lateral Condylar Humeral Fractures

Sung Soo Kim; Hyeon Jun Kim; Hyun Ho Kim; Sang Yun Seok; Sung Yoon Jung

doi:10.4055/jkoa.2015.50.2.132

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Kim, Kim, Kim, Seok, and Jung: The Changes in Patient Pattern for Pediatric Supracondylar and Lateral Condylar Humeral Fractures

Original Article

Journal of the Korean Orthopaedic Association 2015; 50(2): 132-136.

Published online: 30 April 2015

DOI: https://doi.org/10.4055/jkoa.2015.50.2.132

The Changes in Patient Pattern for Pediatric Supracondylar and Lateral Condylar Humeral Fractures

Sung Soo Kim, M.D., Hyeon Jun Kim, M.D., Hyun Ho Kim, M.D., Sang Yun Seok, M.D., Sung Yoon Jung, M.D.

Department of Orthopedic Surgery, Dong-A University College of Medicine, Busan, Korea.

Correspondence to: Hyeon Jun Kim, M.D. Department of Orthopedic Surgery, Dong-A University College of Medicine, 32 Daesingongwon-ro, Seo-gu, Busan 602-714, Korea. TEL: +82-51-240-2757, FAX: +82-51-254-6757, hyeonjun@dau.ac.kr

Received 28 July 2014 Revised 21 December 2014 Accepted 24 February 2015

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

The purpose of this study was to compare the changes in patients pattern retrospectively for pediatric supracondylar and lateral condylar humeral fractures.

Materials and Methods

We retrospectively studied 335 pediatrics treated operatively for supracondylar and lateral condylar fracture from March 1993 to February 2013. The pediatrics were divided depending on the 10-year time period: those who received treatment from March 1993 to February 2003 as group I, and those who received treatment from March 2003 to February 2013 as group II. By each group, the differences in age, gender, cause, season of incidence, whether the time of incidence was a weekend, and education level of the parents were compared and analyzed.

Results

Fractures in group I were mainly due to slip down and fall down, but sports injury was the main cause of fractures in group II. There were 112 cases and 121 cases of supracondylar fractures, and 65 cases and 37 cases of lateral condylar fracture in groups I and II. Significant differences were found in the incidence of lateral condylar facture (p=0.009). In terms of the education level of the parents, the number with high school or under decreased significantly from group I to group II, from 71 cases to 45 cases (p=0.040).

Conclusion

The supracondylar fracture does not show any significant difference according to the time lapse in the age and cause of incidence. However, the incidence of lateral condylar fracture shows a decreasing trend which may be related to the decrease of the incidence of slipping and falling, and the improvement in the parent's education level.

Keywords: pediatric, humerus, supracondylar fracture, lateral condylar fracture

Figures and Tables

Table 1

Analysis of the Changes in Patient Pattern for Pediatric Supracondylar and Lateral Condylar Humeral Fractures

Values are presented as number (%). Group I, a group received treatment from March 1993 to February 2003; group II, a group received treatment from March 2003 to February 2013.

Table 2

Logistic Regression Analysis of the Changes in Patient Pattern for Pediatric Supracondylar and Lateral Condylar Humeral Fractures

Group I, a group received treatment from March 1993 to February 2003; group II, a group received treatment from March 2003 to February 2013.

Notes

^{CONFLICTS OF INTEREST} The authors have nothing to disclose.

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