Podium (Sports) 10

Pediatric fractures from head to toe during sports activities in Japan

Atsushi Sugita, MD
CONSULTANT Sakai City Medical Center, Sakai City, Japan

Many young athletes played an active role in the Tokyo 2020 Olympic and Paralympic Games. Recently, in Japan, it tends to start sports activities from an early age, aiming to play an active role at a high level. Therefore, pediatric injuries are increasing during sports activities. The purpose of this study is to provide characteristics and trends of pediatric fractures from head to toe during sports activities in Japan. From 2016 to 2020, 169 patients with sports-related 199 fractures under 15 years old were treated at our trauma center. The mean age of patients was 11.1 years old. Male was 126 (73.4%) patients and female was 45 (26.6) patients. There were 117 (69.2%) upper extreme fractures, 37 (21.3%) lower extreme fractures, 15 (8.9%) craniofacial fractures, 1 (5.9%) sacral fracture, and 1 (5.9%) rib fracture. The most common sport discipline of fractures was football (50 patients, 29.4%). From the second to the fifth, the rank order was skateboarding (22 patients, 12.9%), baseball (21 patients, 12.4%), gymnastics (16 patients, 9.4%), and basketball (12 patients, 7.1%). In a case of 12th rib fracture in football, a kidney injury was overlooked by other hospital. In skateboarding, 20 of 22 patients (91%) were in the upper extremities. In baseball, 8 of 21 patients (38.1%) were craniofacial fractures. In gymnastics, the mean age of injury was the youngest at 8.1 years. In basketball, 8 of 12 patients (66.7%) were phalangeal fractures. The risk of injuries, such as fractures, increases if children engage in specialized sports activities as athletes from an early age with the aim of playing at a high level. In order to prevent the injuries, it is important to raise awareness of fractures and other injuries among parents and instructors.