Fracture patterns in Nottingham children

J Pediatr Orthop. 1986 Nov-Dec;6(6):656-60. doi: 10.1097/01241398-198611000-00003.


The incidence and pattern of fractures in children less than or equal to 12 years of age living in Nottingham, England, have been reviewed. The annual incidence rate is 16/1,000 children. Fractures are rare in those less than 18 months of age, and incidence increases with age. The most common cause of fracture was a fall in or around the home; the incidence rate of fractures after road traffic accidents was similar in all age groups. Fractures of the distal radius and ulna accounted for 35.8% of all fractures seen, with hand fractures the second largest group (14.7%). The most common fracture type was a green-stick fracture (51.6%), and 18.5% of fractures were epiphyseal injuries. Epiphyseal injuries in children less than 5 years of age, were uncommon whereas spiral/oblique fractures were more common. Rotational trauma is more likely to cause a spiral or oblique shaft fracture in a younger child and an epiphyseal fracture in an older child.

MeSH terms

  • Accidents, Home
  • Accidents, Traffic
  • Age Factors
  • Athletic Injuries / epidemiology
  • Child
  • Child, Preschool
  • England
  • Female
  • Forearm Injuries / epidemiology*
  • Fractures, Bone / classification
  • Fractures, Bone / epidemiology*
  • Fractures, Bone / etiology
  • Hand Injuries / epidemiology
  • Humans
  • Infant
  • Infant, Newborn
  • Male