Obesity in Pediatric Trauma

Philip Ashley; Shawn R Gilbert

doi:10.1016/j.ocl.2018.02.007

Obesity in Pediatric Trauma

Orthop Clin North Am. 2018 Jul;49(3):335-343. doi: 10.1016/j.ocl.2018.02.007.

Authors

Philip Ashley¹, Shawn R Gilbert²

Affiliations

¹ Department of Orthopaedic Surgery, University of Alabama Birmingham, 1600 7th Avenue South, Lowder 316, Birmingham, AL 35233, USA.
² Department of Orthopaedic Surgery, University of Alabama Birmingham, 1600 7th Avenue South, Lowder 316, Birmingham, AL 35233, USA. Electronic address: srgilbert@uabmc.edu.

PMID: 29929715
DOI: 10.1016/j.ocl.2018.02.007

Abstract

Obese children with high-energy injuries present with more severe injuries, more extremity injuries, and higher Injury Severity Scores. They are at increased risk for complications, prolonged ventilation, and ICU stay and have increased mortality. Obesity is associated with altered bone mass accrual and higher fracture rates. Obese patients have a higher risk of loss of reduction of forearm fractures, more severe supracondylar fractures, and a higher likelihood of lateral condyle fractures. Obese patients are more likely to have complications with femur fractures and have higher rates of foot and ankle fracture.

Keywords: Fracture; Obesity; Pediatric; Trauma.

Publication types

Review

MeSH terms

Child
Fractures, Bone / complications*
Fractures, Bone / diagnosis
Fractures, Bone / therapy*
Humans
Pediatric Obesity / complications*
Wounds and Injuries / complications*
Wounds and Injuries / diagnosis
Wounds and Injuries / therapy*