Risk factor analysis for tibial tubercle avulsion fractures in children

被引:1
作者
Wang, Yiwei [1 ]
Huang, Peng [2 ]
Fan, Minjie [1 ]
Zhuang, Hanjie [1 ]
Guo, Ruoyi [1 ]
Zheng, Pengfei [1 ]
Tang, Kai [1 ]
机构
[1] Nanjing Med Univ, Childrens Hosp, Dept Orthopaed Surg, Nanjing 210000, Jiangsu, Peoples R China
[2] Fudan Univ, Natl Childrens Med Ctr, Dept Orthopaed Surg, Childrens Hosp, Wanyuan Rd 399, Shanghai, Peoples R China
关键词
Tibial plateau fractures; Risk factors; Hyperglycaemia; Insulin resistance; TUBEROSITY;
D O I
10.1007/s00264-023-05889-5
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
PurposeTibial tubercle avulsion fractures (TTAFs) are rare in children, particularly bilateral TTAFs. This study aimed to elucidate the associating factors of TTAF, and compare the risk factor profiles of unilateral and bilateral injuries, thus provide clinical theoretical basis for reducing the occurrence of TTAFs.MethodsTTAF paediatric patients who were hospitalized between April 2017 and November 2022 were retrospectively analysed. Children who presented for physical examination during the same period were randomly selected, and were age- and sex-matched as controls. A subgroup analysis based on endocrine function was also performed. A risk factor analysis for bilateral TTAF was performed as well. Data were collected via medical records and a questionnaire. All variables were assessed for association with TTAF using univariate and multiple logistic regression analyses.ResultsA total of 64 TTAF patients and controls were respectively included. Multivariate analysis demonstrated BMI (P = 0.000?OR = 3.172), glucose (P = 0.016?OR = 20.878), and calcium (P = 0.034?OR = 0.000) as independent associating factors of TTAF. Subgroup analysis showed significant differences in oestradiol (P = 0.014), progesterone (P = 0.006) and insulin levels (P = 0.005) between the TTAF and control groups. Bilateral TTAF was found to significantly associate with a history of knee joint pain (P = 0.026).ConclusionHigh BMI, hyperglycaemia, and low calcium levels were found as independent risk factors for TTAF in children. In addition, decreased oestradiol, elevated progesterone, and insulin resistance were identified as potential risk factors for TTAF. A history of knee pain may be suggestive of bilateral TTAF.
引用
收藏
页码:2347 / 2356
页数:10
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