Prijelomi bedrene kosti u djece – okolnosti i uzroci nastanka

Scientific paper - Original scientific paper

• Title (english): Femur fractures in children – causes and mechanisms of injury
• Author: Anko Antabak
• Author: Marija Čagalj
• Author: Nikolina Boršćak
• Author: Renato Ivelj
• Author: Dino Papeš
• Author: Damir Halužan
• Author: Ivan Romić
• Author: Tomislav Luetić
• Author's institution: University of Zagreb; School of Medicine
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences

Abstract (english)

Children are often exposed to injuries due to their hyperactivity. Femur fractures can however leave permanent consequences despite adequate treatment. The high prevalence and possible invalidity justify research in the field of prevention of this injury. But prevention is possible only by knowing the causes and circumstances of the fractures. The aim of this research is to analyze the circumstances and places of occurrence in femur fractures according to children age groups. This retrospective study includes 103 children up to the age of 18 years treated at the University Hospital Center of Medicine Zagreb, or at the Clinic for children diseases Zagreb in the period from 2012 to 2016. The study includes 35 (33 %) girls and 71 (67 %) boys, a total of 106 children with femur fractures. The average age was five years. The majority of the injured children, 52 children (55,2 %), belonged to the youngest age group from 0 to 4 years of age. Diaphysis fractures were the most common with 66 fractures (62 %), and the rarest were fractures of the distal metaphysis with 15 fractures (13 %). The fractures occurred at home in 41 cases (38 %), in the street in 38 cases (36 %), at recreation in 22 cases (21 5), and at school or kindergarten in 3 cases (3 %). The most common causes of femur fractures were falls in 38 cases (57,5 %), motor vehicle accidents in 35 cases (33 %), and crashes and blows in 10 cases (9,5 %). One third of the children with femur fractures had associated injuries, and four fifths of them were caused by motor vehicle accidents. The results of this study show that femur fractures are most frequent in the youngest age groups, and are generally a consequence of accidents at home (mostly falls), seldom in the streets or recreational places. Parents of preschool children should be educated about prevention of falling at their homes, and parents of school children should be educated about the dangers of fractures at recreational places and traffic.

Abstract (croatian)

Djeca su zbog hiperaktivnosti često izložena ozljedama. Visoka pojavnost prijeloma i moguća invalidnost unatoč
primjerenom liječenju opravdavaju istraživanja u području prevencije nastanka prijeloma. Preventivni postupci mogući su
jedino uz poznavanje uzroka i okolnosti nastanka prijeloma. Cilj je ovog rada analizirati okolnosti i mjesta nastanka prijeloma
bedrene kosti po dobnim skupinama djece. U ovu retrospektivnu studiju uključeno je 103-je djece u dobi do 18 godina,
liječene u Kliničkome bolničkom centru Zagreb ili Klinici za dječje bolesti Zagreb u razdoblju 2012. – 2016. Analizirano
je 35 djevojčica (33%) i 71 dječak (67%) s prijelomom femura. Prosječna dob djece iznosila je pet godina. Najveći
broj ozlijeđene djece, 52 (55,2%) bio je u najmlađoj dobnoj skupini, od 0 do 4 godine života. Najčešći su bili prijelomi
dijafi ze – 66 (62%), a najrjeđi distalne metafi ze – 14 (13%). Kod kuće je nastao 41 (38%), na ulici ili cesti 38 (36%), na
rekreacijskome mjestu 22 (21%), a 3 (3%) prijeloma nastala su u školi ili vrtiću. Najčešći uzroci nastanka prijeloma bili su
padovi – 38 (57,5%), nezgode s motornim vozilima – 35 (33,0%) te sudaranja ili izravni udarci – 10 (9,5%). Oko trećine
djece s prijelomom femura imalo je pridružene ozljede, a četiri petine uzrokovane su nezgodama s motornim vozilima.
Rezultati ovog istraživanja pokazuju da su prijelomi bedrene kosti najučestaliji u najmlađim dobnim skupinama, a najčešće
nastaju kao posljedica nezgoda kod kuće, i to padovima, rjeđe na ulici i rekreacijskim mjestima. Roditelje predškolske
djece treba poučiti o prevenciji padova kod kuće, a djecu školske dobi o opasnostima od prijeloma na rekreacijskim
mjestima i u cestovnom prometu.

• Keywords (english): Accidental Falls; Accidents, Traffic; Child, Preschool; Female; Femoral Fractures/etiology; Humans; Infant; Infant, Newborn; Male; Retrospective Studies
• Language: croatian
• Publication type: Scientific paper - Original scientific paper
• Publication status: Published
• Peer review: Peer review
• Publication version: Published version
• Journal title: Liječnički vjesnik
• Numbering: vol. 139, no. 1-2, pp. 24-28
• p-ISSN: 0024-3477
• URN:NBN: urn:nbn:hr:105:284679
• Publication: 2017-01
• Document URL: https://hrcak.srce.hr/178442
• Type of resource: Text
• Access conditions: Open access
• Created on: 2024-03-28 09:39:30