Incidence of physeal injuries in Japanese children
Incidence of physeal injuries in Japanese children
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DOI：
10.1097/01.bpb.0000191874.69258.0b
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发表时间：
2006-03-01
影响因子：
1.1
通讯作者：
Kubo, T
中科院分区：
文献类型：
--
作者：
Kawamoto, K;Kim, WC;Kubo, T
虽然有关于骨骺损伤的流行病学研究报告，但在日本尚未进行系统的研究。在这项研究中，我们研究了在五家综合医院和三家私人诊所治疗的儿科患者中骨骺损伤的发生率。我们在1992年1月至1997年12月期间治疗了肢体损伤的患者，并在原始损伤后至少18个月进行了复查。根据受伤儿童的年龄和性别、骨折部位、治疗类型及其并发症对原始X线片和完整的病例记录进行分类。骨骺损伤占所有儿科骨折的17.9%。最常见的骨骺损伤是指骨，占所有骨骺损伤的21.9%。Salter-Harris I型占骨骺损伤的28.6%; II型（60.9%）在本研究中显示的病例数最多，而III型（6.7%）和IV型（3.7%）。V型无法识别。大多数骨骺损伤保守治疗。无论是承重关节或肘关节手术治疗。7例出现骨骺损伤并发症。5例累及上肢，2例累及下肢。虽然骨骺损伤造成的畸形或功能障碍仍然存在，但只有1例需要矫正截骨。其余6例预后良好。
Although epidemiological studies on epiphyseal injury have been reported, such studies have not been made systematically in Japan. In this study, we examined the incidence of epiphyseal injury in paediatric patients treated at five general hospitals and three private clinics. We treated the patients with limb injuries between January 1992 and December 1997, and reviewed them at least 18 months after the original injuries. The original radiograms and the completed case records were classified according to age and sex of the injured children, site of the fracture, type of treatment, and its complications. Epiphyseal injuries accounted for 17.9% of all paediatric fractures. The most frequently injured epiphysis was the phalanges of hands, 21.9% of all physeal injuries. Salter-Harris type I accounted for 28.6% of physeal injuries; type II (60.9%) revealed the largest number of cases in this study, compared with type III (6.7%) and type IV (3.7%). Type V was not recognized. Most physeal injuries were treated conservatively. Either weight-bearing joints or elbow joints were treated surgically. Complications of physeal injuries were seen in seven cases. Five cases involved the upper limb, and the other two cases involve the lower limb. Although deformity or malfunction caused by physeal injuries was remained, only one case needed a corrective osteotomy. Other six cases revealed a fair prognosis.