Author(s): Ranjeet Singh Choudhary, Dr. Lawrence John Mathias and Dr. Haridas Somayaji
Abstract: Background: Use of technology and changing individual lifestyle patterns are new parameters which contribute to pre-existing causes/factors in paediatric fractures.Aim: To study the epidemiology of paediatric fracture pattern in a rural/semi urban population of India and to identify the dietary and individual lifestyle determinants in given population for fracture occurrence, and to compare the results available from developed and developing countries and find out changing pattern of paediatric fractures, if any and to suggest preventive measures to reduce burden to such trauma in said population. Methods: Between Jan 2019 and June 2020 inclusive from age 2-18 years, 181 paediatric Orthopaedic trauma patients presenting to our hospital were prospectively studied. Information was noted in a prescribed questionnaire. Final data was analysed in form of pie chart, bar diagram and scatter diagram. Results: In this study 181 paediatric patients with age range from 2-18 who reported to our emergency /Out patient department with fractures were included. Most common patients studied belonged to age group 8-10 years. Males (128 i.e. 70.7%) were more commonly affected than females (53 i.e. 29.3%).Fractures involving Upper limb (79.%) isolated distal radius followed by distal humerus) were far more common than lower limb fractures (19.9%) tibia being most common bone involved). More than 60% of subjects were spending more than 1 hrs. of a day as screen time(including TV/mobile) and subsequently 55% of children had were spending less than 60 minutes in a given day for outside physical activity/sports. Conclusion: Kids in developing countries are seen to be involved in more sedentary lifestyle and use of technology has become a necessity in everyone's life leading to high screen time. Previous known factors as poor nutrition status and low awareness/preventive strategies for fracture occurrence remain the same and thus an effective program focused on these new challenges needs to be developed to reduce fracture in this group of vulnerable populations.
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