Causes of low-energy bone fractures in children
G.Sh. MANSUROVA1, S.V. MALTSEV2
1Kazan (Volga) Federal University, Kazan
2Russian Medical Academy of Continuous Professional Education, Moscow
Mansurova G.Sh. — PhD (medicine), Associate Professor of the Department of Emergency Medical Care and Simulation Medicine, Institute for Fundamental Medicine and Biology
Address: 18 Kremlevskaya Str., 420012, Kazan, Russian Federation, tel. +7-917-390-79-20, e-mail: [email protected]
Matsev S.V. — Honored Researcher of the Russian Federation, MD, Professor of the Department of Pediatrics named after Acad. G.N. Speranskiy, tel. (843) 239-82-41, e-mail: [email protected]
The article presents the results of retrospective analysis of anamnestic data and nutritive status of 67 children aged 6 to 18 with low-energy bone fractures due to inadequate trauma under physiologically normal activity of a child. Questioning was performed to reveal low provision of calcium in daily rations of children. It is found that the maximal frequency of fractures occurs in the age of 9-14, and upper extremity fractures are more frequent. It was shown that prophylaxis of vitamin D deficit in most patients was only carried out in the 1st year of life. In later years, vitamin D was not prescribed. It was found that in the 1st year of life 53.7% of children had atopic dermatitis, in most case related to intolerance of cow milk protein. Due to this, elimination hypoallergenic diet was prescribed. In the 1st year of life 26.8% of children had manifestations of rickets. Examining the state of health at the moment of fracture showed that among 12-14 y.o. children, the 3rd group of health prevailed (52.2%), while there were no children referred to the 1st group of health, as well as among the 15-18 y.o. children. In general, the prevailing health disorder was gastrointestinal tract pathology with maximal frequency in the 3rd group of health (92%). Among the children of the 2nd group of health, lesions of the bone- musculoskeletal system prevailed (64%). When estimating calcium provision it was found that only 46.2% of children received sufficient amount of calcium with milk ration, while 29.8% of children received not more than 489±12.3 mg of calcium with milk ration, 10.4% of children — not mare than 96±7 mg, and 13.4% of children did not consume dairy products at all.
Key words: children, fractures, risk factors.
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