| Abstract (english) | Forearm fractures are the most common fractures of childhood. Fall on the extended arm is the main
mechanism of injury. High incidence and possible poor outcomes of treatment justify the questioning of preventative
measures in the occurrence of these injuries. The aim of this paper is to investigate the sites and ways of
forearm fracture of in a group of Zagreb children. This retrospective study included 395 children from the city of
Zagreb who were hospitalized in the UHC Zagreb from January 1, 2014 to October 19, 2017. The examined group
included 265 boys (67.1%) and 130 girls (32.9%). The average life expectancy was 9.1 years. Girls were on average
16 months younger than boys . The highest number of children was 175 (44.3%) in the age group 5-9 years.
One hundred and four (26%) children had fractures of only the distal part of the radius, 104 (26%) of the distal
part of both forearm bones, and 94 (23.6%) diaphyseal fracture of both bones. The leading cause of fractures in
our children group was fall (248 - 62.8%). Transport caused 61 (15.4%), and blow 86 (21.8%) fractures in the
group of our children. There were eight (2%) fractures on the roads, 25 (6.3%) at home, 37 (9.3%) at school, and
271 (68.7%) in extracurricular activities and leisure time. Out of these, there were 69 fractures on the playground
or in the park (26.2%), 54 (13.7%) in bike ride , and 46 (11.7%) during football. Of the 69 children who had
forearm fracture on the playground or in the park, 39 (56.5%) suffered a break on a swing, toboggan and trampoline.
Boys often fall, almost three times more on same level, and twice more from low hight than girls. Girls are
more often injured by falling from the bike. In conclusion, boys are more often at risk, and the dominant mode of
injury is falling. Mostly, they are children of pre-school and early school age. Special community engagement
should focus on these children during their recreational and sporting activities (cycling and football). In Zagreb,
children’s play areas and parks are the most common places of forearm fracture occurrence. |
| Abstract (croatian) | Prijelomi podlaktice najčešći su prijelomi dječje dobi. Pad na ispruženu ruku glavni je mehanizam
ozljeđivanja. Velika pojavnost i mogući loši ishodi opravdavaju propitivanje preventivnih mjera pri nastanku ovih
ozljeda. Za uspješnu prevenciju potrebno je znati mjesta i načine nastanka prijeloma. Cilj je ovog rada istražiti
mjesta i načine nastanka prijeloma kostiju podlaktice u skupini zagrebačke djece. U retrospektivnu analizu uključeno
je 395-ero djece s prijelomom kostiju podlaktice, liječene u KBC-u Zagreb u periodu od 1. siječnja 2014.
godine do 19. listopada 2017. godine. U ispitanoj je skupini bilo 265 dječaka (67,1%) i 130 djevojčica (32,9%).
Srednja životna dob iznosila je 9,1 godinu. Djevojčice su u prosjeku bile mlađe od dječaka 16 mjeseci. Najviše je
djece – njih 175-ero (44,3%) bilo u dobnoj skupini od 5. do 9. godine života. Prijelom samo distalnog dijela
radijusa imalo je 104-ero (26%) djece, distalnog dijela obiju kosti podlaktice također njih 104-ero (26%), a prijelom
dijafize obiju kosti 94-ero (23,6%) djece. Glavni način nastanka prijeloma u skupini naše djece bio je pad
– u njih 248-ero (62,8%). Prijevoz je uzrokovao 61 prijelom (15,4 %), a udarac 86 (21,8 %) prijeloma. Na prometnicama
je nastalo osam (2%) prijeloma, kod kuće 25 (6,3%), u školi 37 (9,3%), a na prostorima za izvannastavne
aktivnosti i slobodno vrijeme 271 (68,7%) prijelom. Od toga na igralištu/u parku nastalo je 69 (26,2%)
prijeloma, pri vožnji biciklom 54 (13,7%), a tijekom igranja nogometa 46 (11,7%). Od 69-ero djece koja su prijelome
podlaktice zadobila na igralištu ili u parku kod njih 39-ero (56,5%) to se dogodilo tijekom igre na ljuljački,
toboganu i trampolinu. Dječaci padaju češće od djevojčica: gotovo tri puta češće u razini i dva puta s male visine.
Djevojčice ozljede češće zadobiju pri padu s bicikla. Zaključno, dječaci su višestruko češće ugroženi, a dominantan
način ozljeđivanja jest pad. Pretežito se radi o djeci predškolske i rane školske dobi. Stoga društvena zajednica
treba posebnu pozornost usmjeriti upravo na tu djecu tijekom njihovih rekreativnih i sportskih aktivnosti (vožnja
biciklom i igranje nogometa). U zagrebačke djece igrališta i parkovi najčešća su mjesta prijeloma podlaktice. |
