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dc.contributor.authorRosendahl, Karen
dc.contributor.authorMyklebust, Ramona
dc.contributor.authorUlriksen, Kjersti Foros
dc.contributor.authorNøttveit, Andreas
dc.contributor.authorEide, Pernille
dc.contributor.authorDjuve, Åsmund
dc.contributor.authorBrudvik, Christina Elisabeth
dc.date.accessioned2021-06-29T08:48:01Z
dc.date.available2021-06-29T08:48:01Z
dc.date.issued2021-06-18
dc.description.abstractBackground - Fractures in children under 2 years of age are rare, and little has been published on their mechanisms. We aimed at examining the incidence, mechanisms, pattern and fracture characteristics in a large, population-based cohort of otherwise healthy children.<p> <p>Methods - This retrospective, cross-sectional study includes all children aged 0–2 years, attending the Accident and Emergency department in Bergen between 2010 and 2015, due to an injury warranting radiography. Clinical data was categorized from the medical notes, and all radiographs were reviewed by an experienced paediatric radiologist.<p> <p>Results - In total 408 children (212 male), 3–23 months of age (mean 17.7 months), were included. 149 (77 male) children had a total of 162 fractures, yielding an annual incidence of 5.4 per 1000, varying from 0.7 per 1000 for those under 12 months of age, increasing tenfold to 7.3 per 1000 for children aged 12–24 months of age. More than half of the fractures (53.1%) were seen in children aged 18–23 months, while none was found in those under 7 months of age. The youngest age group had mostly femur and tibia fractures, the oldest mostly forearm fractures (n = 55, 33.9%), followed by tibia fractures (21.6%) and fractures to the clavicle (14.8%). The reported mechanisms for the 162 fractures were fall from a chair/bed/table (41.4%), fall from own height (18.5%) or crush injury (15.4%). In 8 of 162 (4.9%) fractures, the history was clearly inconsistent and suspicious of non-accidental injury (NAI).<p> <p>Conclusion - Injuries and fractures in young children in general, and non-ambulant children in particular, are rare and should be thoroughly assessed for NAI. Level of evidence: Retrospective, population based cross-sectional study. Level 3.en_US
dc.identifier.citationRosendahl, Myklebust, Ulriksen, Nøttveit, Eide, Djuve, Brudvik. Incidence, pattern and mechanisms of injuries and fractures in children under two years of age. BMC Musculoskeletal Disorders. 2021;22en_US
dc.identifier.cristinIDFRIDAID 1918267
dc.identifier.doi10.1186/s12891-021-04420-4
dc.identifier.issn1471-2474
dc.identifier.urihttps://hdl.handle.net/10037/21595
dc.language.isoengen_US
dc.publisherSpringeren_US
dc.relation.journalBMC Musculoskeletal Disorders
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2021 The Author(s)en_US
dc.subjectVDP::Medical disciplines: 700::Basic medical, dental and veterinary science disciplines: 710en_US
dc.subjectVDP::Medisinske Fag: 700::Basale medisinske, odontologiske og veterinærmedisinske fag: 710en_US
dc.titleIncidence, pattern and mechanisms of injuries and fractures in children under two years of ageen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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