Spectrum of paediatric orthopaedic injuries in Patient attending emergency department of Gandaki Medical College of Pokhara, Nepal

Authors

  • Ishwor Sharma Kandel Gandaki Medical college and Teaching Hospital ( GMCTH), Pokhara, Nepal
  • Karuna Acharya Gandaki Medical college and Teaching Hospital (GMCTH), Pokhara, Nepal
  • Sandip Gupta Gandaki Medical College and Teaching Hospital (GMCTH), Pokhara, Nepal
  • Bhola Shrestha Gandaki Medical College and Teaching Hospital (GMCTH), Pokhara, Nepal

DOI:

https://doi.org/10.3126/mjpahs.v1i2.23390

Keywords:

Children, Fracture, Injuries, Orthopaedics, Spectrum

Abstract

Background: Children are vulnerable to musculoskeletal injuries both at home and on the street for various reasons. Morbidity and disabilities resulting from these, mostly preventable, injuries, make them a burden to their families and society. The role of various factors associated with injuries is often not documented.

Methods: This prospective, cross sectional study was done on 80 children aged below 16 years with musculoskeletal trauma, data were collected and analysis was done using Microsoft excel and frequency table. The various modes of injuries, place of injuries, pattern of injuries and regional distribution of injuries were analyzed.

Results: One in every four to five patient was a child below 16 years of age. Boys were injured more than girls. Injuries, especially fractures, were most common in the extremities, the upper limb more commonly injured than the lower limb. Most of the injuries occurred at home. The most common mode of injuries was falls that happened while playing both within and outside the home, followed by road traffic accidents. Most injuries occurred during daytime.

Conclusions: Many injuries in children were found to be preventable. Small interventions and modification while constructing homes and surroundings can contribute tremendously to injury prevention and control in children. Parental awareness about the various modes of injury, role of supervised playing and their responsibility towards injury prevention can play a key role in reducing the morbidity associated with childhood fractures.

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Author Biographies

Ishwor Sharma Kandel, Gandaki Medical college and Teaching Hospital ( GMCTH), Pokhara, Nepal

Associate Professor, Department of Orthopaedic and Trauma Surgery

Karuna Acharya, Gandaki Medical college and Teaching Hospital (GMCTH), Pokhara, Nepal

Associate Professor, Department of General Practices and Emergency Medicine

Sandip Gupta, Gandaki Medical College and Teaching Hospital (GMCTH), Pokhara, Nepal

Assistant professor, Department of General Practices and Emergency Medicine

Bhola Shrestha, Gandaki Medical College and Teaching Hospital (GMCTH), Pokhara, Nepal

Associate Professor, Department of Orthopaedic and Trauma Surgery

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Published

2018-12-31

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Section

Articles