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Huang DF, Lv DK, Zhao QL, et al. BONE FRAGILITY, FRACTURE RISK AND TRAUMA:A COMPLICATED TRIANGLE IN CHILDREN. Acta Ortop Bras. 2017;25(2):99-102doi: 10.1590/1413-785220172502163455.
Huang, D. F., Lv, D. K., Zhao, Q. L., & Zhang, L. F. (2017). BONE FRAGILITY, FRACTURE RISK AND TRAUMA:A COMPLICATED TRIANGLE IN CHILDREN. Acta ortopedica brasileira, 25(2), 99-102. https://doi.org/10.1590/1413-785220172502163455
Huang, De-Fa, et al. "BONE FRAGILITY, FRACTURE RISK AND TRAUMA:A COMPLICATED TRIANGLE IN CHILDREN." Acta ortopedica brasileira vol. 25,2 (2017): 99-102. doi: https://doi.org/10.1590/1413-785220172502163455
Huang DF, Lv DK, Zhao QL, Zhang LF. BONE FRAGILITY, FRACTURE RISK AND TRAUMA:A COMPLICATED TRIANGLE IN CHILDREN. Acta Ortop Bras. 2017 Mar-Apr;25(2):99-102. doi: 10.1590/1413-785220172502163455. PMID: 28642660; PMCID: PMC5474422.
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Acta Ortop Bras. 2017 Mar-Apr;25(2):99-102. doi: 10.1590/1413-785220172502163455.

BONE FRAGILITY, FRACTURE RISK AND TRAUMA:A COMPLICATED TRIANGLE IN CHILDREN.

Acta ortopedica brasileira

De-Fa Huang, Deng-Kun Lv, Qi-Lin Zhao, Li-Feng Zhang

Affiliations

  1. Department of Pediatrics Surgery, Shandong Jining No.1 People's Hospital, Jining, Shandong 272111, China.

PMID: 28642660 PMCID: PMC5474422 DOI: 10.1590/1413-785220172502163455

Abstract

OBJECTIVE: To analyze whether association between bone fragility and risk of fracture depends on the trauma level.

METHOD: All participants along with their mothers underwent DXA scan and body measurements. The subjects answered a self-report questionnaire about their physical activities and the precipitating causes. The questionnaire results were associated with DXA performed at the baseline visit.

RESULTS: A total 374 children with available DXA scan and complete follow-up of 5 years were included in the final analysis. Of the 374 children, 53 (14.2%) had one fracture, and 11 (20.7%) had more than one fracture. Based on the modified Landin classification, the trauma level was determined. Of the 53 (14.2%) children who had one fracture, 39 (73.6%) were classified, namely 19 (48.7%) with mild trauma, 16 (41%) with moderate trauma and four (10.2%) with severe trauma. Trauma level could not be assigned to 14 (26.4%) children due to limited information. Children without fractures had significantly higher values in all bone parameters compared to those with fractures caused by mild trauma.

CONCLUSION: Subjects with mild trauma fractures had an inversely proportional ratio between bone fragility parameters and fracture risk compared with subjects without fractures.

Keywords: Bone density/physiology; Child; Fractures, bone/epidemiology; Risk factors

Conflict of interest statement

All the authors declare that there is no potential conflict of interest referring to this article.

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