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An Update on the Epidemiology of Pediatric Fractures

Mathison, David J. MD, MBA; Agrawal, Dewesh MD

doi: 10.1097/PEC.0b013e3181eb838d
CME Review Article

Despite public health measures to prevent childhood injuries, the incidence of pediatric fractures is increasing. This fracture incidence is dependent on many demographic factors, the various contributors to bone health, and an individual's risk-taking behavior. Although traditional play activities continue to be the prevalent causes for fractures, there is an evolving array of new sport and recreation activities that carry significant fracture risk. The following review article outlines the developing epidemiology of pediatric fractures by analyzing some of the individual risk factors that influence fracture incidence as well as the variety of activities that are associated with these fractures.

Adjunct Instructor (Mathison) and Associate Professor (Agrawal), George Washington University School of Medicine; Fellow (Mathison) and Director (Agrawal), Pediatric Residency Training Program, Children's National Medical Center, Washington, DC.

Unless otherwise noted below, each faculty's spouse/life partner (if any) has nothing to disclose.

The authors have disclosed that they have no significant relationship with or financial interests in any commercial companies that pertain to this educational activity.

All staff in a position to control the content of this CME activity have disclosed that they have no financial relationships with, or financial interests in, any commercial companies pertaining to this educational activity.

Reprints: David J. Mathison, MD, MBA, Department of Emergency Medicine, Children's National Medical Center, 111 Michigan Ave, NW, Washington, DC 20010 (e-mail:

© 2010 Lippincott Williams & Wilkins, Inc.