Summary

Paediatric fractures represent a substantial component of childhood morbidity worldwide, with incidence peaks in early adolescence and a consistent male predominance. Epidemiological data indicate that rates vary by age, sex, anatomical site and activity setting, with distal forearm fractures among the most frequent injuries arising from falls during sports and recreational play. Long-term surveillance has revealed temporal shifts, including initial rises in incidence linked to demographic changes and evolving leisure patterns, followed in some regions by stabilisation or modest declines. Regional variation in injury mechanisms—from playground accidents to traffic collisions—highlights the need for targeted prevention. The complex interplay between intrinsic factors such as skeletal maturation and extrinsic factors including environmental hazards shapes the global burden of paediatric fractures. Standardised reporting frameworks have enhanced international comparisons, guiding resource allocation and informing the design of interventions to reduce both immediate injury and long-term impairment.

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Epidemiology of Pediatric Fractures publication trend

The graph below shows the total number of articles in epidemiology of pediatric fractures across all publications each year (not limited to Nature Index journals).

Technical terms

Incidence rate: Number of new fractures occurring in a defined population per unit of time, often expressed per 10 000 or 100 000 person-years.

Person-years: Aggregate of individual observation periods during which each person in a study is at risk, used to standardise incidence calculations.

Age-adjusted incidence: Incidence rate modified to a standard age distribution to facilitate valid comparisons between populations with differing age structures.

Retrospective cohort study: Observational design that analyses existing records to examine outcomes in a group of individuals over a specified past period.

References

  1. Development of the annual incidence rate of fracture in children 1980–2018: a population-based study of 32,375 fractures. Acta Orthopaedica (2020).
  2. Epidemiology and management of 10,486 pediatric fractures in Shenzhen: experience and lessons to be learnt. BMC Pediatrics (2022).
  3. Time trends in pediatric fractures in a Swedish city from 1950 to 2016. Acta Orthopaedica (2020).
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