Frequency and mechanism of injury for unintentional paediatric femoral fractures associated with consumer products over a 10-year period in the USA.

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος:	Frequency and mechanism of injury for unintentional paediatric femoral fractures associated with consumer products over a 10-year period in the USA.
Συγγραφείς:	Peace A; Orthopaedic Surgery, McLaren Flint Hospital, Flint, Michigan, USA peace.andrew.j@gmail.com., Dandamudi S; Michigan State University College of Human Medicine, East Lansing, Michigan, USA., Ozdemir S; Michigan State University College of Human Medicine, East Lansing, Michigan, USA., Ostrander J; Orthopaedic Surgery, McLaren Flint Hospital, Flint, Michigan, USA., Atkinson T; Kettering University, Flint, Michigan, USA.
Πηγή:	Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention [Inj Prev] 2026 May 15; Vol. 32 (3), pp. 432-437. Date of Electronic Publication: 2026 May 15.
Τύπος έκδοσης:	Journal Article
Γλώσσα:	English
Στοιχεία περιοδικού:	Publisher: BMJ Pub. Group Country of Publication: England NLM ID: 9510056 Publication Model: Electronic Cited Medium: Internet ISSN: 1475-5785 (Electronic) Linking ISSN: 13538047 NLM ISO Abbreviation: Inj Prev Subsets: MEDLINE
Imprint Name(s):	Original Publication: London : BMJ Pub. Group, c1995-
Ιατρικοί όροι (MeSH):	Femoral Fractures/epidemiology , Femoral Fractures/etiology , Femoral Fractures/prevention & control , Accidental Falls/statistics & numerical data , Consumer Product Safety*, United States/epidemiology ; Emergency Service, Hospital/statistics & numerical data ; Casts, Surgical/statistics & numerical data ; Accidents, Home/statistics & numerical data ; Humans ; Child ; Child, Preschool ; Female ; Male ; Infant ; Incidence
Περίληψη:	Background: Femoral shaft fractures tend to be rare among children; however, these injuries are the most common major paediatric injuries treated by orthopaedic surgeons. The purpose of this study is to characterise the demographics and mechanisms of femoral injury associated with consumer products in the age group treated with spica casting, children 6 months to 6 years, to identify areas for injury prevention. Methods: Data from 2012 to 2021 were obtained from the National Electronic Injury Surveillance System maintained by the Consumer Products Safety Commission, documenting emergency department visits for unintentional injuries associated with consumer products. Narrative descriptions were analysed to identify common factors in the injury events such as location, products and mechanisms of action. Results: From 2012 to 2021, the estimated incidence of femur fractures was 23.5 cases per 100 000 children with no significant difference in yearly frequency. The most common mechanism of injury was a fall with the most frequent fracture sources being bed/bunk beds (16.1%), floor (slips/falls, 9.7%) and trampolines (9.7%). Most fractures occurred at the patient's home (58.4%). The incidence of injury outside of the home and frequency of fractures involving play structures/trampolines increased with age. Conclusions: The incidence and demographic characteristics of paediatric femur fractures associated with consumer products have remained consistent over the past 10 years. As home was the most common location of fracture, prevention of femur fractures should focus on caregiver education around high-risk sources of fracture (bed, stairs and trampolines) and manufacturers should consider design alternatives that discourage potential misuse. (© Author(s) (or their employer(s)) 2026. No commercial re-use. See rights and permissions. Published by BMJ Group.)
Competing Interests:	Competing interests: None declared.
Contributed Indexing:	Keywords: Child; Fall; Health Education; Trauma Systems
Entry Date(s):	Date Created: 20241030 Date Completed: 20260515 Latest Revision: 20260617
Update Code:	20260618
DOI:	10.1136/ip-2024-045278
PMID:	39477530
Βάση Δεδομένων:	MEDLINE

Περιγραφή
ISSN:	1475-5785
DOI:	10.1136/ip-2024-045278