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Epidemiologic investigation of pediatric distal humerus fractures: An American insurance claims database study

World Journal of Orthopedics 2024年第1期15卷 52-60页

作者： Kyle Jay Klahs Jake E Dertinger Grant T Mello Kevin Thapa Alexis B Sandler E'Stephan J Jesus Garcia nata parnes Department of Orthopaedic Surgery Texas Tech University Health Sciences-El PasoEl PasoTX 79905United States Medical School California Health Sciences University College of Osteopathic MedicineClovisCA 93611United States Undergraduate School Binghampton UniversityVestalNY 13902United States Department of Orthopaedic Surgery William Beaumont Army Medical CenterFort BlissTX 79918United States Department of Orthopaedic Surgery Carthage Area HospitalCarthageNY 13619United States

BACKGROUND Distal humerus elbow fractures are one of the most common traumatic fractures seen in pediatric patients and present as three main types:Supracondylar(SC),lateral condyle(LC),and medial epicondyle(ME)*** To evaluate the epidemiology of pediatric distal humerus fractures(SC,LC,and ME)from an American insurance claims *** A retrospective review was performed on patients 17 years and younger with the ICD 9 and 10 codes for SC,LC and ME fractures based on the IBM Truven MarketScan®Commercial and IBM Truven MarketScan Medicare Supplemental *** from 2015 to 2020 were queried for treatments,patient age,sex,length of hospitalization,and *** A total of 1133 SC,154 LC,and 124 ME fractures were *** fractures had the highest percentage of operation at 83%,followed by LC(78%)and ME fractures(41%).Male patients were,on average,older than female patients for both SC and ME *** In the insurance claims databases used,SC fractures were the most reported,followed by LC fractures,and finally ME *** was identified to be a factor for how a pediatric distal humerus fractures,with patients with SC and LC fractures being younger than those with ME *** peak age per injury per sex was similar to reported historic central tendencies,despite reported trends for younger physiologic development.

关键词： Supracondylar humerus fracture Lateral condyle fracture Medial epicondyle fracture Pediatric elbow Truven Epidemiology

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Epidemiology of shoulder dislocations presenting to United States emergency departments:An updated ten-year study

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世界骨科杂志:英文版 2023年第9期14卷 690-697页

作者： Cole M Patrick Josiah Snowden Michael D Eckhoff Clare K Green John P Scanaliato John C Dunn nata parnes Department of Orthopaedics William Beaumont Army Medical CenterFort BlissTX 79918United States Burnett School of Medicine Texas Christian UniversityFort WorthTX 76129United States School of Medicine and Health Sciences George Washington UniversityWashingtonWA 20052United States Department of Orthopaedic Surgery Carthage Area HospitalCarthageNY 13619United States

BACKGROUND Glenohumeral dislocation is a common injury that may predispose patients to chronic pain and ***,there is a paucity of current data available regarding the epidemiological trends of this *** To provide an updated,comparative assessment of the epidemiology of shoulder dislocations presenting to emergency departments in the United *** also sought to analyze patient demographic risk factors and consumer products associated with dislocation *** Data were obtained from the national electronic injury surveillance system database for glenohumeral dislocations between 2012 and ***,age,sex,and injury characteristics were analyzed using weighted population statistics as well as incidence rates and 95%confidence intervals(CI).RESULTS In total,an estimated 773039 shoulder dislocations(CI:640598-905481)presented to emergency rooms across the United States during the study *** annual incidence rate was 23.96 per 100000 persons and the average patient age at the time of injury was 37.1 *** more male patients sustained dislocations than female patients(537189,69.5%,vs 235834,30.5%,P<0.001).With regard to associated consumer products,sports and recreation equipment were involved in the highest proportion of incidents(44.31%),followed by home structures and construction materials(21.22%),and home furnishings,fixtures,and accessories(21.21%).Regarding product sub-groups,stairs,ramps,landings,floors was cited in the greatest number of cases(131745).CONCLUSION The national annual incidence rate of glenohumeral dislocations throughout the study period was approximately 23.92 per 100000 *** adolescents sustained the highest proportion of dislocations,with a peak incidence in age group 15-20 years,predominantly secondary to participation in sporting and recreational ***,women experienced a relatively consistent incidence of dislocation throughout their *** age 63,the i

关键词： Shoulder dislocation Epidemiology United States Emergency department Glenohumeral dislocation national electronic injury surveillance system

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Incidence of sports-related sternoclavicular joint dislocations in the United States over the last two decades

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World Journal of Orthopedics 2023年第6期14卷 427-435页

作者： Alexis B Sandler Michael D Baird John P Scanaliato Ayden LW Harris Sorana Raiciulescu Clare K Green John C Dunn nata parnes Department of Orthopaedic Surgery Texas Tech University Health Sciences Center El PasoEl PasoTX 79905United States Department of Orthopaedic Surgery Walter Reed National Military Medical CenterBethesdaMD 20307United States Department of Preventive Medicine and Biostatistics Uniformed Services UniversityBethesdaMD 20307United States School of Medicine and Health Sciences The George Washington UniversityWashingtonDC 20001United States Department of Orthopaedic Surgery Carthage Area HospitalCarthageNY 13619United States Department of Orthopaedic Surgery Claxton-Hepburn Medical CenterOgdensburgNY 13669United States

BACKGROUND Epidemiological understanding of acute sternoclavicular(SC)dislocations secondary to sports across the United States is poorly *** To identify and assess epidemiological trends of SC dislocations occurring secondary to sports-related mechanisms across United States over the past two *** This cross-sectional,descriptive epidemiological study evaluates epidemiological trends of SC dislocations from sports that present to emergency departments(EDs)across the United *** were obtained from the National Electronic Injury Surveillance System database spanning two *** on incidence,patient demographics,mechanisms of injury,dislocation types,incident locales,and patient dispositions were *** 1622 SC dislocations occurred nationwide from 2001 to 2020[incidence=0.262/1000000 people,confidence interval(CI)=0.250-0.275],comprising 0.1%of shoulder/upper trunk *** patients were male(91%,n=1480)and aged 5-17(61%,n=982).Football,wrestling,and biking were the most frequently implicated sports,with contact sports responsible for 59%of athletic injuries(n=961).Recreational vehicle-related sports injuries,such as all-terrain vehicles,dirt bikes,and mopeds accounted for 7.8%of all injuries(n=126),with dirt bikes specifically comprising 3.7%(n=61).Ultimately,82%were discharged from the ED(n=1337),12%were admitted(n=194),and 6%were transferred(n=90).All recorded posterior dislocations were admitted or transferred from the *** sustaining SC dislocations from contact sports had a significantly increased risk of hospital admission or transfer rather than discharge from the ED as compared to patients whose injuries were from non-contact sports(incidence rate ratio=1.46,CI:=1.32-1.61,P<0.001).CONCLUSION SC dislocations from sports continue to be rare with a stably low incidence over the past two decades,likely comprising a smaller proportion of shoulder dislocations than previously *** sports are a fr

关键词： Sternoclavicular dislocation Sternoclavicular joint Epidemiology Football Contact sports

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