Navigation Links
Study looks at sports-related facial fractures in kids, reports Plastic and Reconstructive Surgery

Philadelphia, Pa. (May 29, 2013) Facial fractures are relatively common, and potentially serious, sports-related injuries among children participating in a wide range of sports, according to a study in the June issue of Plastic and Reconstructive Surgery, the official medical journal of the American Society of Plastic Surgeons (ASPS).

The five-year study provides insights into the characteristics of sports-related facial fractures in young athletesincluding the causes and patterns of fractures in specific sports. "These data may allow targeted or sport-specific craniofacial fracture injury prevention strategies," write Dr. Lorelei Grunwaldt and colleagues of Children's Hospital of Pittsburgh.

Sports-Related Facial Fractures in Kids: Patient and Injury Characteristics

The researchers analyzed 167 children and adolescents with sports-related fractures seen at their hospital's emergency department from 2000 to 2005. Of all facial fractures in children treated during that time, 10.6 percent were sports-related.

About 80 percent of the injured patients were boys; nearly two-thirds were between 12- and 15-years-old. Nasal fractures accounted for about 40 percent of the injuries, 34 percent were fractures around the eye, and skull fractures accounted for 31 percent.

Although the injuries were not critical, many were quite serious. Approximately 45 percent of the patients were hospitalized, including 15 percent admitted to the intensive care unit. About 10 percent lost consciousness. Four percent of the children had more severe "level I" traumaunstable airway or vital signs, or spinal cord injury.

Approximately 45 percent of fractures occurred when the child was hit by a ballmost often when attempting to catch it. Collisions with another player were the second most common cause at 24.5 percent, followed by falls, about 19 percent.

Sport-Specific Fractures Have Lessons for Prevention

Forty-four percent of the facial fractures were sustained from baseball or softball activities. Basketball and football were less common, only accounting for 10 percent of the cases. Analysis of various sports found some important differences in causes and fracture patterns:

  • Baseball/softballMost injuries occurred in fielders trying to catch the ball, most often a line drive.
  • Basketball, football and soccerAll fractures in basketball and football, and most in soccer, were caused by colliding with another player.
  • GolfMost injuries occurred at home, all in patients struck by another player's club.
  • Skiing/snowboarding and skateboardingAll facial fractures in skiing/snowboarding, and most in skateboarding, occurred in youth who were not wearing helmets.
  • Horseback ridingFractures were caused by being kicked by a horse.

Although fractures related to horseback riding and skateboarding were less common, the injuries tended to be more severe. Rates of level I trauma were 29 percent in horseback riding and 14 percent in skateboarding.

The study is one of the few to focus on sports-related facial fractures in children. The findings have important implications for plastic surgeons, emergency department personnel and others who evaluate and treat young athletes with facial fractures.

The data on causes and patterns of fractures may also aid in efforts to prevent facial fractures in young patients, the researchers believe. They emphasize that proper supervision and efforts to promote following the rules and "fair play" may reduce the overall risk of injuries in young athletes.

In skateboarding and skiing/snowboarding, wearing helmets has proven effective in reducing fracture risk. Nasal protectors may help prevent some fractures in basketball and soccer. The use of softer, low-impact balls has been recommended in youth baseball and softball. Given the high rate of fractures occurring in fielders trying to catch a ball in these sports, Dr. Grunwaldt and coauthors conclude, "[O]ur strongest recommendation for injury prevention may be further consideration of face protective equipment [face guards] for players fielding in baseball and softball."


Contact: Connie Hughes
Wolters Kluwer Health

Related medicine news :

1. Study finds that radiation oncology research is critically underfunded by NIH
2. Study shows longer treatment for children with langerhans cell hystiocytosis improves survival rates
3. EORTC study identifies patients with anaplastic oligodendroglioma that benefit from adjuvant PCV
4. hCGTreatments / Diet Doc hCG Diets & Weight Loss Plans Now Offer New Guided Weight Loss Tips Now Found in New Study to Help Patients Lose Weight Fast
5. A Strong Marriage Can Shield Kids From Dads Depression: Study
6. Narconon Releases Early Study of Delaware Prison Program, Demonstrating Crime Reduction Consistent with More Recent Narconon Results
7. Changing gut bacteria through diet affects brain function, UCLA study shows
8. GOJO presents electronic hand hygiene compliance study at APIC conference
9. Alzheimers Patients Mimic Emotions of Those Around Them: Study
10. Study: Ipilimumab Shows Durable Responses But Low Overall Response Rate In Patients With Unresectable Or Metastatic Mucosal Melanoma
11. Kids Poisoned by Medical Marijuana, Study Finds
Post Your Comments:
(Date:6/25/2016)... (PRWEB) , ... June 25, 2016 , ... The temporary closing of Bruton Memorial Library ... City Observer , brings up a new, often overlooked aspect of head lice: the parasite’s ... for fumigation is not a common occurrence, but a necessary one in the event that ...
(Date:6/25/2016)... ... ... On Friday, June 10, Van Mitchell, Secretary of the Maryland Department of Health ... of their exemplary accomplishments in worksite health promotion. , The Wellness at Work Awards ... at the BWI Marriott in Linthicum Heights. iHire was one of 42 businesses to ...
(Date:6/24/2016)... CA (PRWEB) , ... June 24, 2016 , ... Marcy was in a crisis. Her ... would lash out at his family verbally and physically. , “When something upset him, he ... he would use it. He would throw rocks at my other children and say he ...
(Date:6/24/2016)... (PRWEB) , ... June 24, 2016 , ... Topical BioMedics, Inc, makers of Topricin and ... that call for a minimum wage raise to $12 an hour by 2020 and then ... will restore the lost value of the minimum wage, assure the wage floor does not ...
(Date:6/24/2016)... ... 2016 , ... Strategic Capital Partners, LLC (SCP) in concert ... capital for emerging technology companies. SCP has delivered investment events and professional ... than a million dollars of capital investment for five companies. The ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... Mass. , June 24, 2016   Pulmatrix, ... pharmaceutical company developing innovative inhaled drugs, announced today that ... Russell Investments reconstituted its comprehensive set of ... "This is an important milestone for Pulmatrix," ... will increase shareholder awareness of our progress in developing ...
(Date:6/23/2016)... DUBLIN , June 23, 2016 ... "Dialysis Devices Global Market - Forecast to 2022" report ... is the treatment method for the patients with kidney failure, ... and excess fluid from the patient,s blood and thus the ... sodium, potassium and chloride in balance. Increasing ...
(Date:6/23/2016)... 23, 2016 Roche (SIX: RO, ROG; OTCQX: ... its Elecsys BRAHMS PCT (procalcitonin) assay as a dedicated ... shock. With this clearance, Roche is the first IVD ... solution for sepsis risk assessment and management. ... and PCT levels in blood can aid clinicians in ...
Breaking Medicine Technology: