1110 (Po) Fractures In Childhood

G. Triantafyllidis, D. Karakaidos, N.Condilis1, G. Kafalidis, Z. Tseflika, P. Tsakiridi, C. Karis
Pediatric Clinic and 1Trainees of Family Medicine. Dir. G. Mpelos - of General State Hospital of Nikaia .Saint Panteleimon., Piraeus, Athens, Greece
Our study's aim was to determine the characteristics of fractures (frequency, location, age, causes, need for hospitalisation) in children of urban areas and whether these are differentiated with respect to sex, parental educational level and origin.
Information was derived after interviewing the parents of 1552 children (boys 49.7%-girls 50.3%) 6-12 yrs of age, who live in urban areas. 15.5%, 39.9% and 44.6% of parents were of low, intermediate and high educational level, respectively. 7.5% of them were immigrants.
Fractures occur in 10.8% of children (in 9.3% once, 1,5% twice). Mean age of occurrence was 6.09ñ2.52 yrs (16.3% at age 4, 20.9% at 7, 14% at 8). 75% of these involve the upper limbs, 15.9% the lower limbs, 4.5% the trunk and 2.3% the head. 55.6% happened during playtime, 22.2% at home, 6.7% in sports, 6.7% after falling from bikes and 2.2% on the road. Hospitalisation was required in 17% of cases. Boys in contrast with girls, present more often with fractures of the upper limbs *(20.8% versus 10.8%) occurring mainly at sports *(10.5% v 3.8%) and after bike falls *(10.5% v3.8%). Children of parents of intermediate level of education have a lower percentage of fractures *(7.3% vs. 13.3% low and 12.6% high). Children of immigrants present more often with fractures of the lower limbs** (33.3% vs. 14.6% of Greeks) that require hospitalisation **(50% vs. 14% of Greeks).
Conclusion: Fractures are common in childhood reflecting changes in characteristics relating to sex, parental educational level and origin.