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Volume 8
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10.3390/children8010051
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Article

The Relationship between the Dominant Hand and the Occurrence of the Supracondylar Humerus Fracture in Pediatric Orthopedics

by
Alexandru Herdea
1,2,
Alexandru Ulici
1,2,*,
Alexandra Toma
3,
Bogdan Voicu
4 and
Adham Charkaoui
3
1
Pediatric Orthopedics Department, “Grigore Alexandrescu” Children’s Emergency Hospital, 011743 Bucharest, Romania
2
11th Department, “Carol Davila” University of Medicine and Pharmacy, 050474 Bucharest, Romania
3
Department of Morphological and Functional Sciences, Faculty of Medicine and Pharmacy, “Dunărea de Jos” University of Galați, 800008 Galați, Romania
4
General Medicine Department, “Carol Davila” University of Medicine and Pharmacy, 050474 Bucharest, Romania
*
Author to whom correspondence should be addressed.
Children 2021, 8(1), 51; https://doi.org/10.3390/children8010051
Submission received: 10 November 2020 / Revised: 8 January 2021 / Accepted: 13 January 2021 / Published: 15 January 2021
(This article belongs to the Special Issue Bone Development and Disease in Infants)
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Abstract

It is known that during a fall, a child would rather protect their dominant hand by using the non-dominant one, although the role of handedness in upper limb fractures has not been studied in-depth. We carried out a retrospective, cross-sectional cohort study, including pediatric patients who presented to the emergency room with a supracondylar humerus fracture following an injury by falling from the same height. In total, 245 patients were selected and grouped according to age. In the 1–3 years group, no statistical significance was found between hand dominance and the side of fracture (p = 0.7315). During preschool years (4–6 years old), the non-dominant hand is more often involved (p = 0.03, odds ratio: 3.5). In the 7–14 years group this trend was maintained and actually increased (p = 0.052, odds ratio: 3.8). We might conclude that children tend to protect their dominant hand by falling on their non-dominant one. The main objective of this study is to highlight a link between handedness and the side of the body where the hand fracture will be identified in the pediatric population, regarding supracondylar humerus fracture.
Keywords: supracondylar humerus fracture; pediatric; humerus fracture; upper limb fracture; fracture laterality; handedness; pediatric orthopedics supracondylar humerus fracture; pediatric; humerus fracture; upper limb fracture; fracture laterality; handedness; pediatric orthopedics

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MDPI and ACS Style

Herdea, A.; Ulici, A.; Toma, A.; Voicu, B.; Charkaoui, A. The Relationship between the Dominant Hand and the Occurrence of the Supracondylar Humerus Fracture in Pediatric Orthopedics. Children 2021, 8, 51. https://doi.org/10.3390/children8010051

AMA Style

Herdea A, Ulici A, Toma A, Voicu B, Charkaoui A. The Relationship between the Dominant Hand and the Occurrence of the Supracondylar Humerus Fracture in Pediatric Orthopedics. Children. 2021; 8(1):51. https://doi.org/10.3390/children8010051

Chicago/Turabian Style

Herdea, Alexandru, Alexandru Ulici, Alexandra Toma, Bogdan Voicu, and Adham Charkaoui. 2021. "The Relationship between the Dominant Hand and the Occurrence of the Supracondylar Humerus Fracture in Pediatric Orthopedics" Children 8, no. 1: 51. https://doi.org/10.3390/children8010051

APA Style

Herdea, A., Ulici, A., Toma, A., Voicu, B., & Charkaoui, A. (2021). The Relationship between the Dominant Hand and the Occurrence of the Supracondylar Humerus Fracture in Pediatric Orthopedics. Children, 8(1), 51. https://doi.org/10.3390/children8010051

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