Abstract
Objective Sports-related injuries, such as facial fractures, are potentially debilitating and may lead to long-term functional and aesthetic deficits in a pediatric patient. In this study, we analyze sports-related facial fractures in the urban pediatric population in an effort to characterize patterns of injury and improve management strategies and outcomes. Methods Retrospective chart review was performed for all facial fractures resulting from sports injuries in the pediatric population at a level-1 trauma center (University Hospital, Newark, NJ). Results Seventeen pediatric patients were identified as having sustained a fracture of the facial skeleton due to sports injury. Mean age was 13.9 years old. A total of 29 fractures were identified. Most common fracture sites included the orbit ( n = 12), mandible ( n = 5), nasal bone ( n = 5), and zygomaticomaxillary complex ( n = 3). The most common concomitant injuries included skull fracture ( n = 3), intracranial hemorrhage ( n = 4), and traumatic brain injury ( n = 4). One patient was intubated upon arrival to the emergency department. Hospital admission was required in 13 patients, 4 of which were admitted to an intensive care setting. Nine patients required operative intervention. Mean length of hospital stay was 2.4 days. No patients were expired. Conclusions Sports-related facial fractures are potentially debilitating injuries in the pediatric population. Analysis of fracture pattern and concomitant injuries is imperative to develop effective management strategies and prevention techniques.
Highlights
A total of 45 fractures were identified on radiologic imaging via computed tomography (CT) scan, magnetic resonance imaging (MRI), or plain X-ray films
The most common fractures were those of the orbit (28%), mandible (25%), and nasal bone (12%)
Four patients were admitted to the intensive care unit (ICU)
Summary
Retrospective chart review was performed for all facial fractures resulting from sports injuries in the pediatric population at a level-1 trauma center (University Hospital, Newark, NJ). Results Seventeen pediatric patients were identified as having sustained a fracture of the facial skeleton due to sports injury. Conclusions Sports-related facial fractures are potentially debilitating injuries in the pediatric population. A retrospective chart review was performed for all facial fractures in a level-1 trauma center in an urban environment (University Hospital, Newark, NJ) from 2002 to 2012 based on International Classification of Disease, revision 9 (ICD-9) codes. All cases of facial fracture in the pediatric population, defined as 18 years of age, with sports-related injuries, as the modality of injury were included. Information collected included patient demographics, fractures site, concomitant injuries, length of hospital stay, critical complications, and surgical management strategies. Final data were recorded on an Excel spreadsheet, and relevant statistical tests including Pearson’s χ2 test and odds ratio were performed, with the p < 0.05 set as the degree of statistical significance
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