Abstract
Supracondylar fractures of the humerus (SCH) are one of the most common orthopaedic injuries in childhood. Numerous studies worldwide demonstrate that play equipment is a common mechanism of injury for SCH. Our study aimed to identify the prevalence of play equipment related SCH in a large population in Western Sydney.
We conducted a retrospective analysis of 856 infants who suffered a SCH between 2001–2007 and were treated at The Children's Hospital at Westmead. We obtained data on patient demographics, mechanism of injury, severity of SCH (Gartland classification), and management of SCH (open reduction vs closed reduction vs. non operative management).
Of the total 856 patients, 739 provided useful information for analysis. In 696 of these patients the mechanism of injury could be determined according to the patients information provided in the medical record. The mechanisms of injury were as follows: trampoline 72 (10.3%), monkey bars 58 (8.3%), slides 26 (3.7%), other playground equipment 84 (12.0%), home furniture 157 (22.6%), bikes 39 (5.6%), non-equipment related fall 260 (37.3%). Of the patient demographics, there was a significant correlation between the age groups (0–3, 4–7, 8+ years) and severity of SCH (Ï24 = 18.36, p=0.001). Fifty-two percent of Gartland type three fractures occurred in the age group of 4–7 years.
The study demonstrates that playground equipment represents a major mechanism of injury of SCH in children. In particular trampoline related SCH and to a lesser degree monkey bar related SCH, represent an area in which primary preventative strategies should be targeted.
