What question did this study set out to answer?

To assess the impact of COVID-19 social distancing measures on the incidence, setting, and management characteristics of pediatric fractures.

May 19, 2020Journal of Pediatric Orthopaedics

Where Have All the Fractures Gone? The Epidemiology of Pediatric Fractures During the COVID-19 Pandemic

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Authors

JBJoshua T. BramHospital for Special Surgery MJMitchell A. JohnsonHospital for Special Surgery LMLacey C. MageeCleveland Clinic

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Implication

Retrospective cohort study reveals a marked decline in fracture incidence among children during the COVID-19 pandemic, indicating how social distancing alters pediatric injury patterns.

Key Points

To assess the impact of COVID-19 social distancing measures on the incidence, setting, and management characteristics of pediatric fractures.
Retrospective cohort study conducted at a single level I pediatric trauma hospital including N=1,745 patients with acute fractures.
Compared a pandemic period (March 15 to April 15, 2020) with equivalent prepandemic periods in 2018 and 2019.
Daily fracture volume declined significantly during the pandemic (9.6±5.1 vs. 22.5±9.1/d, P<0.001), with corresponding reductions in surgical cases (0.8±0.8 vs. 2.2±1.8/d, P<0.001) and mean patient age (7.5±4.3 vs. 9.4±4.4 years, P<0.001).
Injuries shifted toward home settings (57.8% vs. 32.5%, P<0.001) and bicycles (18.3% vs. 8.2%, P<0.001), while sports-related (7.2% vs. 26.0%, P<0.001) and playground-related fractures (5.2% vs. 9.0%, P<0.001) declined.
Velcro splint utilization for distal radius torus fractures rose from 25.9% prepandemic to 44.2% during the pandemic (P=0.010), while time-to-presentation showed no significant delay.

Cite This Study

Bram et al. (2020) studied this question.

synapsesocial.com/papers/6ab0b10e4e85c2807b959d33 https://doi.org/10.1097/bpo.0000000000001600

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Implication

Retrospective cohort study reveals a marked decline in fracture incidence among children during the COVID-19 pandemic, indicating how social distancing alters pediatric injury patterns.

Where Have All the Fractures Gone? The Epidemiology of Pediatric Fractures During the COVID-19 Pandemic

Discussion

Member takes

Implication

Key Points

Cite This Study

Where Have All the Fractures Gone? The Epidemiology of Pediatric Fractures During the COVID-19 Pandemic

Discussion

Member takes

Implication

Key Points

Cite This Study

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