Obese children more likely to have complex elbow fractures, further complications

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Pediatric obesity is currently an epidemic, with the prevalence having quadruped over the last 25 years. Children diagnosed with obesity can be at risk for various long-term health issues and may be putting their musculoskeletal system at risk. According to new research in the February issue of the Journal of Bone and Joint Surgery(JBJS), obese children who sustain a supracondylar humeral (above the elbow) fracture can be expected to have more complex fractures and experience more postoperative complications than children of a normal weight.”These findings show that children diagnosed with obesity are more likely to sustain these complex fractures from something as simple as falling onto an outstretched hand while standing, and these types of falls are quite common,” said author Michelle S. Caird, MD, assistant professor in the department of orthopaedic surgery at the University of Michigan. “Our research aims to remind parents that there are many serious risks to childhood obesity, including fractures and surgical complications. It’s important to ensure that children get the proper amount of exercise and to build their bone banks early in life to a strong and healthy frame.”Specific Study DetailsMore than 350 patients ranging in age from 2 to 11 years old who had undergone operative treatment for supracondylar humeral fractures were included in the study. Patient records were reviewed for demographic data, body mass index (BMI) percentile, and injury data. Forty-one children were underweight (BMI <5<sup>th percentile), 182 were normal weight (BMI in the 5th to 85th percentile), 63 were overweight (BMI in the >85th percentile), and 68 were obese (BMI in the >95th percentile). The study included 149 patients with type-2 fractures (a break through part of the bone at the growth plate and crack through the bone shaft), 11 of whom were diagnosed with obesity; and 205 patients with type-3 fractures, 57 of whom were diagnosed with obesity. Complex fractures were defined as Type-3 fractures (completely displaced), fractures with multiple fracture lines, open fractures where the bone is exposed through the skin, and multiple fractures in the same arm. …


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