Effects of Obesity on Pediatric Fracture Care and Management

Obese children have a theoretically increased risk of sustaining an extremity fracture because of potential variations in their bone mineral density, serum leptin levels, and altered balance and gait.Trauma databases suggest an increased rate of extremity fractures in obese children and adolescents...

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Bibliographic Details
Published in:Journal of bone and joint surgery. American volume 2012-05, Vol.94 (9), p.855-861
Main Authors: Lazar-Antman, Meredith A, Leet, Arabella I
Format: Article
Language:English
Subjects:
Adolescent
Age Factors
Biological and medical sciences
Bone Density
Child
Diseases of the osteoarticular system
Female
Fractures, Bone - diagnosis
Fractures, Bone - etiology
Fractures, Bone - therapy
Humans
Injuries of the limb. Injuries of the spine
Leptin - physiology
Male
Medical sciences
Metabolic diseases
Obesity
Obesity - complications
Obesity - pathology
Obesity - physiopathology
Postural Balance
Risk Factors
Traumas. Diseases due to physical agents
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Summary:Obese children have a theoretically increased risk of sustaining an extremity fracture because of potential variations in their bone mineral density, serum leptin levels, and altered balance and gait.Trauma databases suggest an increased rate of extremity fractures in obese children and adolescents involved in polytrauma compared with nonobese children and adolescents.Anesthetic and other perioperative concerns for obese pediatric trauma patients undergoing surgery include higher baseline blood pressures, increased rates of asthma, and obstructive sleep apnea.A child’s weight must be considered when choosing the type of implant for fixation of pediatric femoral fractures.Fracture prevention strategies in obese pediatric patients consist of ensuring properly sized safety gear for both motor vehicles and sporting activities and implementing structured weight-loss programs.
ISSN:0021-9355
1535-1386
DOI:10.2106/JBJS.J.01839