PRIJELOMI DISTALNOG RADIJUSA U DJECE – UZROCI I MJESTA NASTANKA

Anko Antabak, Abdulah Chouehne, Selena Ćurković, Dino Papeš, Marko Bogović, Tomislav Luetić, Stanko Ćavar, Damir Halužan, Marija Mihić Surić

Prijelomi distalnog dijela radijusa najčešći su prijelomi u djece i čine oko 25% svih prijeloma. Glavni mehanizam nastanka je pad na ispruženu ruku. Ovi prijelomi najčešće nastaju kao posljedica nesretnih slučajeva, a rjeđe zbog ozljeda i patoloških stanja. U ovom retrospektivnom istraživanju analizirali smo 182 bolnički liječena prijeloma distalnog radijusa, od čega 61 (29,8%) otpada na epifizeolize. Uzroci su podijeljeni u tri skupine: pad 124 (68,1%), ozljeda u prometu 50 (27,5%) i udarac 8 (4,4%). Padovi najčešće nastaju tijekom igre ili sporta – 72 (39,6%), a prometne ozljede tijekom vožnje bicikla – 30 (52%) i koturaljki – 25 (43%). Djeca su se najčešće ozljeđivala na mjestima sportske i rekreacijske aktivnosti – 115 (63%), na ulici 38 (21%) te u školi 16 (9%). U naše djece najveća je pojavnost prijeloma distalnog radijusa tijekom sportskih i rekreacijskih aktivnosti, a najmanja u školi i kod kuće.

Distal radius fractures are the most common fractures in children and account for about 25% of all fractures. The main mechanism of occurrence is a fall on the outstretched hand. These fractures usually occur as a result of accidents, and rarely because of injuries and pathological conditions. In this retrospective study, we analyzed 182 hospital-treated distal radius fractures, of which 61 fractures (29.8%) represent epiphysiolysis. The causes are divided into three groups: fall 124 (68.1%), injuries in traffic 50 (27.5%), and strikes 8 (4.4%). Falls usually occur during sport or game playing 72 (39.6%), and traffic injuries occur during cycling 30 (52%) and roller skating 25 (43%). Children were most often injured in the areas of sports and recreational activities 115 (63%), on the street 38 (21%), and at the school 16 (9%). In our children the highest incidence of distal radius fractures was during sports and recreational activities, and the lowest in school and at home.