Characterization of pediatric fractures in a type IV healthcare facility

Abstract

The study aims to characterize pediatric fractures at the Metropolitan Polyclinic of Caracas between 2020 and 2024, in order to demonstrate that there are specific fracture patterns based on age, sex, and injury mechanisms, which would allow for the design of better prevention and treatment strategies. A retrospective study with a quantitative approach was conducted. Medical records and radiological records of 151 pediatric patients (0-14 years) treated for fractures were reviewed. Variables included sex, age, affected anatomical area, and type of fracture. Descriptive statistical analyses were used to calculate frequencies and percentages, and Chi-square tests were used to compare groups. 45 % of fractures were observed in the 11-14 age group, with a predominance in males (59,6 %). The most common fractures were complete (37,7 %) and mainly affected the diaphysis (52,3 %). The most affected bones were the radius (20,5 %) and the humerus (18,5%). Most fractures occurred in the peripheral skeleton (97,4 %). The study confirms that pediatric fractures in the sample studied showed specific fracture patterns, such as a higher incidence in adolescent boys and in arm bones, which is why specific preventive measures are suggested for higher risk groups: adolescents active in contact sports. Complete and diaphyseal fractures require special attention due to their impact on bone development.