@article{ref1,
title="Analysis of physeal fractures from the United States National Trauma Data Bank",
journal="Children (Basel, Switzerland)",
year="2022",
author="Fuchs, Joseph R. and Gibly, Romie F. and Erickson, Christopher B. and Thomas, Stacey M. and Hadley Miller, Nancy and Payne, Karin A.",
volume="9",
number="6",
pages="914-914",
abstract="BACKGROUND: Pediatric long-bone physeal fractures can lead to growth deformities. Previous studies have reported that physeal fractures make up 18-30% of total fractures. This study aimed to characterize physeal fractures with respect to sex, age, anatomic location, and Salter-Harris (SH) classification from a current multicenter national database. <br><br>METHODS: A retrospective cohort study was performed using the 2016 United States National Trauma Data Bank (NTDB). Patients ≤ 18 years of age with a fracture of the humerus, radius, ulna, femur, tibia, or fibula were included. <br><br>RESULTS: The NTDB captured 132,018 patients and 58,015 total fractures. Physeal fractures made up 5.7% (3291) of all long-bone fractures, with males accounting for 71.0% (2338). Lower extremity physeal injuries comprised 58.6% (1929) of all physeal fractures. The most common site of physeal injury was the tibia comprising 31.8% (1047), 73.9% (774) of which were distal tibia fractures. Physeal fractures were greatest at 11 years of age for females and 14 years of age for males. Most fractures were SH Type II fractures. <br><br>DISCUSSION AND CONCLUSIONS: Our analysis indicates that 5.7% of pediatric long-bone fractures involved the physis, with the distal tibia being the most common. These findings suggest a lower incidence of physeal fractures than previous studies and warrant further investigation.<p /> <p>Language: en</p>",
language="en",
issn="2227-9067",
doi="10.3390/children9060914",
url="http://dx.doi.org/10.3390/children9060914"
}