Effect of Weather Conditions on the Pediatric Supracondylar Humerus Fracture Incidence

Overview

Journal Cureus

Specialty Biomedical Engineering

Date 2022 Nov 21

PMID 36408309

Authors

Hakan Ozbay

Oktay Adanir

Hamisi M Mraja

Affiliations

Soon will be listed here.

Abstract

Background: Some environmental factors pose as risk factors for children's supracondylar humerus fractures. This study aimed to evaluate the relationship between weather conditions and pediatric supracondylar humerus fracture incidence.

Methods: A total of 310 patients aged <16 years, admitted to our hospital with supracondylar humerus fractures, were evaluated. We evaluated patients' age, and also, season, day, and weather conditions. The Turkish State Meteorological Service database was used for meteorological data and data was analysed statistically.

Results: Most cases occurred in the spring (28.1%, n=87) and summer (27.1%, n=84). Cases of older children (aged six years and older) with supracondylar humerus fractures were recorded in the summer season, while fracture cases in preschool-aged (younger than six years old) children were seen in the winter season.

Conclusion: We found that the overall incidence of pediatric supracondylar humerus fractures increased in spring and summer seasons. In addition, the fracture incidence in preschool- and school-aged children differed according to the season and temperature. Hence, the management of these fractures could also include the significance of weather conditions, making preventive measures more critical in the spring and summer seasons.

Citing Articles

Evaluation of Risk Factors for the Occurrence of Limb Fractures in Children Due to Unintentional Injury in Podgorica, Montenegro, Mediterranean.

Raspopovic K, Bankovic D, Petrovic A, Opancina V, Nikolic S, Vojinovic R Medicina (Kaunas). 2024; 60(1).

PMID: 38256390 PMC: 10820898. DOI: 10.3390/medicina60010129.

References

Lenaway D, Ambler A, Beaudoin D . The epidemiology of school-related injuries: new perspectives. Am J Prev Med. 1992; 8(3):193-8. View

Sinikumpu J, Pokka T, Sirnio K, Ruuhela R, Serlo W . Population-based research on the relationship between summer weather and paediatric forearm shaft fractures. Injury. 2013; 44(11):1569-73. DOI: 10.1016/j.injury.2013.04.021. View

Sinikumpu J, Victorzon S, Pokka T, Lindholm E, Peljo T, Serlo W . The long-term outcome of childhood supracondylar humeral fractures: A population-based follow up study with a minimum follow up of ten years and normal matched comparisons. Bone Joint J. 2016; 98-B(10):1410-1417. DOI: 10.1302/0301-620X.98B10.35923. View

Aparicio Martinez J, Pino Almero L, Cibrian Ortiz de Anda R, Guillen Botaya E, Garcia Montolio M, Minguez Rey M . Epidemiological study on supracondylar fractures of distal humerus in pediatric patients. Rev Esp Cir Ortop Traumatol (Engl Ed). 2019; 63(6):394-399. DOI: 10.1016/j.recot.2019.07.001. View

Sinikumpu J, Pokka T, Sirvio M, Serlo W . Gartland Type II Supracondylar Humerus Fractures, Their Operative Treatment and Lateral Pinning Are Increasing: A Population-Based Epidemiologic Study of Extension-Type Supracondylar Humerus Fractures in Children. Eur J Pediatr Surg. 2016; 27(5):455-461. DOI: 10.1055/s-0036-1597270. View

Houshian S, Mehdi B, Larsen M . The epidemiology of elbow fracture in children: analysis of 355 fractures, with special reference to supracondylar humerus fractures. J Orthop Sci. 2001; 6(4):312-5. DOI: 10.1007/s007760100024. View

Randsborg P . Elbow fractures in children remain a challenge: commentary on an article by Noora Vallila, MD, et al.: "Pediatric distal humeral fractures and complications of treatment in Finland. A review of compensation claims from 1990 through 2010". J Bone Joint Surg Am. 2015; 97(6):e34. DOI: 10.2106/JBJS.N.01352. View

Kao H, Chen M, Lee W, Yang W, Chang C . Seasonal Temperature and Pin Site Care Regimen Affect the Incidence of Pin Site Infection in Pediatric Supracondylar Humeral Fractures. Biomed Res Int. 2015; 2015:838913. PMC: 4429189. DOI: 10.1155/2015/838913. View

Mott A, Evans R, Rolfe K, Potter D, KEMP K, Sibert J . Patterns of injuries to children on public playgrounds. Arch Dis Child. 1994; 71(4):328-30. PMC: 1030012. DOI: 10.1136/adc.71.4.328. View

10.

Holt J, Glass N, Bedard N, Weinstein S, Shah A . Emerging U.S. National Trends in the Treatment of Pediatric Supracondylar Humeral Fractures. J Bone Joint Surg Am. 2017; 99(8):681-687. DOI: 10.2106/JBJS.16.01209. View

11.

Sinikumpu J, Pokka T, Hyvonen H, Ruuhela R, Serlo W . Supracondylar humerus fractures in children: the effect of weather conditions on their risk. Eur J Orthop Surg Traumatol. 2016; 27(2):243-250. DOI: 10.1007/s00590-016-1890-8. View

12.

Wong K, Wong J, Mahadev A . Playground-related Extremity Fractures in an Asian Setting over the Last Decade - Are We Safe?. J Epidemiol Glob Health. 2019; 9(1):50-55. PMC: 7310760. DOI: 10.2991/jegh.k.190225.001. View

13.

Masterson E, Borton D, OBrien T . Victims of our climate. Injury. 1993; 24(4):247-8. DOI: 10.1016/0020-1383(93)90179-a. View

14.

Kraus R, Horas U, Szalay G, Alt V, Kaiser M, Schnettler R . School-related injuries: a retrospective 5-year evaluation. Eur J Trauma Emerg Surg. 2016; 37(4):411-8. DOI: 10.1007/s00068-010-0063-4. View

15.

Song F, Zeng Y, Tian J, Lv Y, Feng G, Ni X . Epidemiology and the economic burden of pediatric fractures in China: A retrospective study of 14,141 fractures. Bone. 2020; 144:115498. DOI: 10.1016/j.bone.2020.115498. View

16.

Kasser J . Location of treatment of supracondylar fractures of the humerus in children. Clin Orthop Relat Res. 2005; (434):110-3. DOI: 10.1097/01.blo.0000162410.47731.69. View

17.

Mitchelson A, Illingworth K, Robinson B, Elnimeiry K, Wilson C, Markwell S . Patient demographics and risk factors in pediatric distal humeral supracondylar fractures. Orthopedics. 2013; 36(6):e700-6. DOI: 10.3928/01477447-20130523-12. View

18.

Leung K, Mahadev A . The cost of sustaining playground related extremity fractures in Singapore. Injury. 2011; 42(4):352-5. DOI: 10.1016/j.injury.2010.05.024. View

19.

Scherl S, Schmidt A . Pediatric trauma: getting through the night. J Bone Joint Surg Am. 2010; 92(3):756-64. View