ISSN: 2577-297X
Authors: Almigdad A* and Megdadi N
Introduction: Pediatric bones possess unique anatomical and biomechanical characteristics distinct from adult bones, resulting in specific fracture patterns, healing potential, and treatment. Lower density, higher porosity, and extensive capillary infiltration characterize childhood bone. Diagnosing pediatric fractures can be challenging due to variations in ossification centers, often leading to delayed presentations. Definitions of "children" vary across organizations, influencing research methodologies. Methods: This retrospective study analyzed clinical and radiological records of pediatric patients admitted to the Royal Rehabilitation Center (RRC) at King Hussein Medical City (KHMC) in Amman, Jordan, from July 2020 to December 2023. Patients included were those under 18 with documented injury causes and available radiographs. However, we excluded patients who were discharged from the emergency department, those readmitted for re-operation, and those with poorly recorded injury mechanisms. Results: The study included 863 patients, with males constituting two-thirds. The mean patient age was 8.9 years. School-age children were the most affected, with a slight gender variation in age peaks. Left extremity fractures predominated, and the axial skeleton accounted for 7% of fractures. Simple falls were the leading injury mechanism (68.8%), followed by falls from height (16.6%) and road traffic accidents (6.4%). Upper limb fractures were most common (64.7%), especially distal humerus fractures (40%), followed by forearm shaft fractures (11.2%). High-energy injuries were more prevalent in older children, with distinct fracture patterns linked to specific injury mechanisms. Discussion: This study sheds light on pediatric fractures in Jordan, highlighting key differences in activity levels and risktaking behaviors between genders. While simple falls were most common, older children experienced more high-energy injuries. The findings emphasize the need for targeted injury prevention strategies for school-age children, including safer play environments, use of protective gear, and increased awareness among parents and caregivers about common injury risks.
Keywords: Pediatric, Fracture, Bone, Jordan
