Injury-mechanism directness as a key factor for fracture laterality in pediatric extremity fractures
DC Field | Value | Language |
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dc.contributor.author | Kim, Keong-Hwan | - |
dc.contributor.author | Jeon, Ji Young | - |
dc.contributor.author | Lee, Seonjeong | - |
dc.contributor.author | Bae, Kunhyung | - |
dc.contributor.author | Kang, Michael Seungcheol | - |
dc.date.accessioned | 2023-12-26T02:00:18Z | - |
dc.date.available | 2023-12-26T02:00:18Z | - |
dc.date.issued | 2023-11 | - |
dc.identifier.issn | 0949-2658 | - |
dc.identifier.issn | 1436-2023 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/89815 | - |
dc.description.abstract | Background: Associations between certain extremity fracture sites and laterality in pediatric trauma are well known, whereas the rationale for such laterality tendencies are unclear. We hypothesized that the laterality tendency of a specific fracture would be affected by directness of injury mechanism and not by the fracture site itself. Methods: We retrospectively enrolled 1382 children (aged 2–16 years) who were diagnosed with extremity fractures sustained during loss-of-balance situations and investigated the laterality tendencies (dominant vs. non-dominant extremity) of specific fracture sites. Multivariate analyses were sequentially performed to adjust for potential confounding variables-with and without injury-mechanism directness as a covariate. Results: In the upper extremities, the non-dominant side was more prone to fractures (p < 0.001), especially of the distal supracondylar humerus, radial and/or ulnar shaft, and distal radius. In the lower extremities, the dominant side was more frequently fractured (p < 0.001), especially at the tibial shaft and distal tibia. However, the predisposing effects of specific fracture sites on fracture laterality were not statistically significant when in analysis adjusted for injury-mechanism directness as a covariate. Fracture laterality was affected by whether the injury mechanism was direct or indirect. Indirect injury to the upper extremity was strongly associated with non-dominant arm injury (odds ratio 0.686 [95% CI 0.517–0.991]; p = 0.009), whereas indirect injury to the lower extremity was strongly associated with dominant leg injury (odds ratio 2.138 [95% CI 1.444–3.165]; p < 0.001). Conclusions: Injury-mechanism directness, rather than fracture site itself, is a key factor that affects fracture laterality in pediatric extremity fractures. These findings are helpful for improving our understanding of which factors may affect fracture laterality among children. © 2022 | - |
dc.format.extent | 5 | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | Elsevier | - |
dc.title | Injury-mechanism directness as a key factor for fracture laterality in pediatric extremity fractures | - |
dc.type | Article | - |
dc.identifier.wosid | 001123776100001 | - |
dc.identifier.doi | 10.1016/j.jos.2022.10.024 | - |
dc.identifier.bibliographicCitation | Journal of Orthopaedic Science, v.28, no.6, pp 1379 - 1383 | - |
dc.description.isOpenAccess | N | - |
dc.identifier.scopusid | 2-s2.0-85142812466 | - |
dc.citation.endPage | 1383 | - |
dc.citation.startPage | 1379 | - |
dc.citation.title | Journal of Orthopaedic Science | - |
dc.citation.volume | 28 | - |
dc.citation.number | 6 | - |
dc.type.docType | Article | - |
dc.publisher.location | 네델란드 | - |
dc.subject.keywordAuthor | Fracture laterality | - |
dc.subject.keywordAuthor | Hand and foot dominance | - |
dc.subject.keywordAuthor | Injury mechanism | - |
dc.subject.keywordAuthor | Pediatric trauma | - |
dc.relation.journalResearchArea | Orthopedics | - |
dc.relation.journalWebOfScienceCategory | Orthopedics | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
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