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Incidence of Distal Radius Fracture in Children Peaks Around the Pubertal Growth Spurt: A Hospital-Based Study Over Twelve Years (2000 to 2011)

Volume 9 | Issue 2 | May-August 2023 | Page: 10-15 | Raghavendra S. Kulkarni, SriRam R. Kulkani DOI- https://doi.org/10.13107/ijpo.2023.v09.i02.165 Submitted: 14/05/2023; Reviewed: 28/05/2023; Accepted: 29/06/2023; Published: 10/08/2023 Authors: Raghavendra S. Kulkarni MS Ortho [1], SriRam R. Kulkani MS Ortho [2] [1] Department of Orthopaedics, SSPM Medical College & Lifetime Hospital, Padve, Sindhudurg, Maharashtra, India. [2] […]

A Rare Case Report of Congenital Subtalar Dislocation

Volume 9 | Issue 2 | May-August 2023 | Page: 27-29 | Harsharan Singh Oberoi, Baldish Singh Oberoi DOI- https://doi.org/10.13107/ijpo.2023.v09.i02.168 Submitted: 21/03/2023; Reviewed: 18/04/2023; Accepted: 11/06/2023; Published: 10/08/2023 Authors: Harsharan Singh Oberoi MS Ortho [1], Baldish Singh Oberoi MS Ortho [1] [1] Department of Orthopaedics, Oberoi Hospital, Jalandhar City, Punjab, India. Address of Correspondence Dr. […]

Incidence of Distal Radius Fracture in Children Peaks Around the Pubertal Growth Spurt: A Hospital-Based Study Over Twelve Years (2000 to 2011)

A Rare Case Report of Congenital Subtalar Dislocation

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Incidence of Distal Radius Fracture in Children Peaks Around the Pubertal Growth Spurt: A Hospital-Based Study Over Twelve Years (2000 to 2011)

Volume 9 | Issue 2 | May-August 2023 | Page: 10-15 | Raghavendra S. Kulkarni, SriRam R. Kulkani

DOI- https://doi.org/10.13107/ijpo.2023.v09.i02.165

Submitted: 14/05/2023; Reviewed: 28/05/2023; Accepted: 29/06/2023; Published: 10/08/2023

Authors: Raghavendra S. Kulkarni MS Ortho [1], SriRam R. Kulkani MS Ortho [2]

[1] Department of Orthopaedics, SSPM Medical College & Lifetime Hospital, Padve, Sindhudurg, Maharashtra, India.
[2] Department of Orthopaedics, ACPM Medical College & Hospital, Dhule, Maharashtra, India.

Address of Correspondence

Dr. Raghavendra S. Kulkarni,
Professor of Orthopaedics & Medical Superintendent, SSPM Medical College & Lifetime Hospital, Padve, 415634 Sindhudurg, Maharashtra, India.
E-mail: rskulkarnics53@gmail.com

Abstract

Introduction: A significant asynchrony between statural growth rate and mineral mass accrual may contribute to the increased prevalence of low-energy fractures observed during puberty. This disparity is most pronounced when the compact bone of the radius exhibits a temporary surge in porosity concurrent with the most rapid phase of linear growth.
Materials & Methods: The district hospital, Sindhadurg complete medical records are used to identify all distal radius fracture younger than 18 years, treated during 2000 to 2011. The medical record linkage system of regular and periodical school health medical examination performed by medical officers tested biannually, anthropometrically, physiologically and clinically for whole district children provides the unique data on velocity of growth. This demographic data of distal radius fracture in children and adolescents are compared with, documentation of longitudinal velocity of growth of the same children that was collected during the identical time period for children from the same student population of Sindhudurg.
Results: After adjusting for age and sex, the annual incidence rates per 100,000 population showed a statistically significant increase from 2.8 (95% CI 2.4-3.3) in 2000, to 6.3 (95% CI 5.7-6.9) in 2006, and 12.7 (95% CI 11.9-13.4) in 2011. The average age for peak growth velocity was 14.2 years in boys and 12.6 years in girls, according to the Government of Maharashtra’s school health program. Notably, the incidence of fractures peaked at ages 13.1 to 15.2 in boys and 11.4 to 13.8 in girls.
Conclusion: This long term data for the whole Sindhudurg district indicates a correlation between the peak incidence of distal radius fractures and the age of maximum growth velocity in both boys and girls, suggesting a potential vulnerability during this critical growth phase.
Keywords: Distal radius fracture in children, adolescent, puberty, growth spurt, longitudinal velocity of growth.

References

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How to Cite this Article: Kulkarni RS, Kulkani SR | Incidence of Distal Radius Fracture in Children Peaks Around the Pubertal Growth Spurt: A Hospital-Based Study Over Twelve Years (2000 to 2011) | International Journal of Paediatric Orthopaedics | May-August 2023; 9(2): 10-15 | https://doi.org/10.13107/ijpo.2023.v09.i02.165

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A Rare Case Report of Congenital Subtalar Dislocation

Volume 9 | Issue 2 | May-August 2023 | Page: 27-29 | Harsharan Singh Oberoi, Baldish Singh Oberoi

DOI- https://doi.org/10.13107/ijpo.2023.v09.i02.168

Submitted: 21/03/2023; Reviewed: 18/04/2023; Accepted: 11/06/2023; Published: 10/08/2023

Authors: Harsharan Singh Oberoi MS Ortho [1], Baldish Singh Oberoi MS Ortho [1]

[1] Department of Orthopaedics, Oberoi Hospital, Jalandhar City, Punjab, India.

Address of Correspondence

Dr. Baldish Singh Oberoi
Orthopaedic Surgeon, Oberoi Hospital, Jalandhar City, Punjab, Jalandhar City, Punjab, India.
E-mail: baldishoberoi@gmail.com

Abstract

Congenital dislocation of the subtalar joint is a very rare deformity and one of the causes of the calcaneovalgus foot. Only 2 cases were reported earlier in the literature. We are reporting the third case. A seven year old female child came to our hospital with a deformity of the left foot noticed by parents at birth. There was no history of trauma. The patient was treated in early childhood with casting. On examination the foot was in severe valgus and the patient was bearing weight on the medial malleolus. Calcaneus was displaced laterally. Radiographs and a CT scan of the left foot confirmed the diagnosis of a congenital subtalar dislocation. Surgical correction was achieved through lengthening of various tendons and release of subtalar joint followed by fixation with a K wire.
Keywords: Congenital subtalar dislocation, Calcaneovalgus foot, K wire fixation, Ankle foot orthosis

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How to Cite this Article: Oberoi HS, Oberoi BS | A Rare Case Report of Congenital Subtalar Dislocation | International Journal of Paediatric Orthopaedics | May-August 2023; 9(2): 27-29. https://doi.org/10.13107/ijpo.2023.v09.i02.168

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Half Sized Blog Element (Multi Author Style)

Incidence of Distal Radius Fracture in Children Peaks Around the Pubertal Growth Spurt: A Hospital-Based Study Over Twelve Years (2000 to 2011)

A Rare Case Report of Congenital Subtalar Dislocation

Incidence of Distal Radius Fracture in Children Peaks Around the Pubertal Growth Spurt: A Hospital-Based Study Over Twelve Years (2000 to 2011)

A Rare Case Report of Congenital Subtalar Dislocation

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Incidence of Distal Radius Fracture in Children Peaks Around the Pubertal Growth Spurt: A Hospital-Based Study Over Twelve Years (2000 to 2011)

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(Article Text HTML) (Full Text PDF)

A Rare Case Report of Congenital Subtalar Dislocation

Abstract

(Article Text HTML) (Full Text PDF)

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