A Shift From Non-operative Care to Surgical Fixation of Pediatric Humeral Shaft Fractures Even Though Their Severity Has Not Changed
Introduction: Humeral shaft fractures have traditionally been treated non-operatively due to their good union and low rate of functional impairment. In the recent years, upper extremity fractures and their operative treatment have increased in children. Nevertheless, the trends of humeral shaft frac...
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ftdoajarticles:oai:doaj.org/article:cc96c1ab382c428d8e1ec0163ecf9e10 2023-05-15T17:42:42+02:00 A Shift From Non-operative Care to Surgical Fixation of Pediatric Humeral Shaft Fractures Even Though Their Severity Has Not Changed Juuli Hannonen Elina Sassi Hanna Hyvönen Juha-Jaakko Sinikumpu 2020-11-01T00:00:00Z https://doi.org/10.3389/fped.2020.580272 https://doaj.org/article/cc96c1ab382c428d8e1ec0163ecf9e10 EN eng Frontiers Media S.A. https://www.frontiersin.org/articles/10.3389/fped.2020.580272/full https://doaj.org/toc/2296-2360 2296-2360 doi:10.3389/fped.2020.580272 https://doaj.org/article/cc96c1ab382c428d8e1ec0163ecf9e10 Frontiers in Pediatrics, Vol 8 (2020) humeral shaft fracture children and adolescents operative treatment internal fixation epidemiology changing trends Pediatrics RJ1-570 article 2020 ftdoajarticles https://doi.org/10.3389/fped.2020.580272 2022-12-31T02:43:50Z Introduction: Humeral shaft fractures have traditionally been treated non-operatively due to their good union and low rate of functional impairment. In the recent years, upper extremity fractures and their operative treatment have increased in children. Nevertheless, the trends of humeral shaft fractures are not clear.Materials and Methods: All children aged <16 years, with a humeral shaft fracture in the geographical catchment area of Northern Finland Hospital District, with a yearly child population-at-risk of ~86 000 from the year 2001 until the end of 2015 were included. There were 88 cases, who comprised the study population. Radiographs were available of all. Injury, patient, and treatment characteristics were reviewed from hospital databases.Results: There was an increasing trend of surgical fixation of humeral shaft fractures during the 15 years' study period (β = 1.266, 95% CI 0.17 to 2.36, p = 0.035). However, we found no patient or fracture-related reasons that could have explained the increasing trend of surgical care. Comminuted fracture increased the risk of operative treatment 8-fold (Odds Ratio, OR 7.82, 95% CI 1.69 to 36.3, p = 0.009). Higher age, greater angular deformity or greater diameter of the humerus were not associated with the increased operation risk.Conclusions: The treatment philosophy concerning pediatric humeral shaft fractures has presented a shift from conservative care to surgical fixation. To authors' understanding there is not evidence supporting the increasing rate of osteosynthesis. Article in Journal/Newspaper Northern Finland Directory of Open Access Journals: DOAJ Articles Frontiers in Pediatrics 8 |
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Open Polar |
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Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
humeral shaft fracture children and adolescents operative treatment internal fixation epidemiology changing trends Pediatrics RJ1-570 |
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humeral shaft fracture children and adolescents operative treatment internal fixation epidemiology changing trends Pediatrics RJ1-570 Juuli Hannonen Elina Sassi Hanna Hyvönen Juha-Jaakko Sinikumpu A Shift From Non-operative Care to Surgical Fixation of Pediatric Humeral Shaft Fractures Even Though Their Severity Has Not Changed |
topic_facet |
humeral shaft fracture children and adolescents operative treatment internal fixation epidemiology changing trends Pediatrics RJ1-570 |
description |
Introduction: Humeral shaft fractures have traditionally been treated non-operatively due to their good union and low rate of functional impairment. In the recent years, upper extremity fractures and their operative treatment have increased in children. Nevertheless, the trends of humeral shaft fractures are not clear.Materials and Methods: All children aged <16 years, with a humeral shaft fracture in the geographical catchment area of Northern Finland Hospital District, with a yearly child population-at-risk of ~86 000 from the year 2001 until the end of 2015 were included. There were 88 cases, who comprised the study population. Radiographs were available of all. Injury, patient, and treatment characteristics were reviewed from hospital databases.Results: There was an increasing trend of surgical fixation of humeral shaft fractures during the 15 years' study period (β = 1.266, 95% CI 0.17 to 2.36, p = 0.035). However, we found no patient or fracture-related reasons that could have explained the increasing trend of surgical care. Comminuted fracture increased the risk of operative treatment 8-fold (Odds Ratio, OR 7.82, 95% CI 1.69 to 36.3, p = 0.009). Higher age, greater angular deformity or greater diameter of the humerus were not associated with the increased operation risk.Conclusions: The treatment philosophy concerning pediatric humeral shaft fractures has presented a shift from conservative care to surgical fixation. To authors' understanding there is not evidence supporting the increasing rate of osteosynthesis. |
format |
Article in Journal/Newspaper |
author |
Juuli Hannonen Elina Sassi Hanna Hyvönen Juha-Jaakko Sinikumpu |
author_facet |
Juuli Hannonen Elina Sassi Hanna Hyvönen Juha-Jaakko Sinikumpu |
author_sort |
Juuli Hannonen |
title |
A Shift From Non-operative Care to Surgical Fixation of Pediatric Humeral Shaft Fractures Even Though Their Severity Has Not Changed |
title_short |
A Shift From Non-operative Care to Surgical Fixation of Pediatric Humeral Shaft Fractures Even Though Their Severity Has Not Changed |
title_full |
A Shift From Non-operative Care to Surgical Fixation of Pediatric Humeral Shaft Fractures Even Though Their Severity Has Not Changed |
title_fullStr |
A Shift From Non-operative Care to Surgical Fixation of Pediatric Humeral Shaft Fractures Even Though Their Severity Has Not Changed |
title_full_unstemmed |
A Shift From Non-operative Care to Surgical Fixation of Pediatric Humeral Shaft Fractures Even Though Their Severity Has Not Changed |
title_sort |
shift from non-operative care to surgical fixation of pediatric humeral shaft fractures even though their severity has not changed |
publisher |
Frontiers Media S.A. |
publishDate |
2020 |
url |
https://doi.org/10.3389/fped.2020.580272 https://doaj.org/article/cc96c1ab382c428d8e1ec0163ecf9e10 |
genre |
Northern Finland |
genre_facet |
Northern Finland |
op_source |
Frontiers in Pediatrics, Vol 8 (2020) |
op_relation |
https://www.frontiersin.org/articles/10.3389/fped.2020.580272/full https://doaj.org/toc/2296-2360 2296-2360 doi:10.3389/fped.2020.580272 https://doaj.org/article/cc96c1ab382c428d8e1ec0163ecf9e10 |
op_doi |
https://doi.org/10.3389/fped.2020.580272 |
container_title |
Frontiers in Pediatrics |
container_volume |
8 |
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1766144612831854592 |