Frequencies and Lines of Pediatric Distal Humerus Fractures: Where and How are the Fractures? Pediatrik Distal Humerus Kırıklarının Sıklığı ve Çizgileri: Kırıklar Nerede ve Nasıldır?

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Çelik M., Çanlıoğlu A., Tıngır M., Öztürk V., KURAL C.

Medical Journal of Bakirkoy, cilt.21, sa.1, ss.14-18, 2025 (ESCI, Scopus, TRDizin)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 21 Sayı: 1
  • Basım Tarihi: 2025
  • Doi Numarası: 10.4274/bmj.galenos.2024.2024.8-6
  • Dergi Adı: Medical Journal of Bakirkoy
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, CINAHL, EMBASE, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.14-18
  • Anahtar Kelimeler: Pediatric, elbow, distal humerus, fracture frequency, fracture lines
  • Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

Objective: The type, lines, and location of the fracture play an important role in the complications and clinical course of distal humerus fractures in children. This study aims to demonstrate the fracture lines of pediatric distal humerus fractures on a 2D model, determine where the fractures are concentrated, and investigate the relationship between these findings and age range. Methods: A total of 194 pediatric distal humerus fractures were retrospectively reviewed and analyzed. For each fracture, a map of the fracture lines was drawn and graphically overlaid on the 2D model (anterior, lateral) with this method, fracture lines were determined according to age ranges. Fracture models and density maps were created. Results: Our analysis was based on 194 X-ray images of pediatric distal humerus fractures, including 131 male and 63 female patients. It included 14 epiphyses, 83 physes and 97 metaphyses fractures. In the mapping, it was seen that the fracture lines between the ages of 2-6 were mostly concentrated on the physis. In addition, it was mostly seen in the metaphysis in patients aged 6-12 years. Conclusion: Pediatric distal humeral fracture lines follow characteristic patterns that are closely related to bone structure and age. Understanding the characteristics of these fractures can assist surgeons during diagnosis, preoperative planning, and implementation of surgical strategies.