Publication:
Is Attention Deficit and Hyperactivity Disorder a Risk Factor for Sustaining Fractures of Proximal Humerus?

dc.authorscopusid56804550700
dc.authorscopusid55797394200
dc.authorscopusid34879942100
dc.authorscopusid59778745600
dc.authorscopusid56241636900
dc.authorscopusid14058224400
dc.contributor.authorErdoǧan, M.
dc.contributor.authorDesteli, E.E.
dc.contributor.authorİmren, Y.
dc.contributor.authorYüce, M.
dc.contributor.authorBüyükceran, I.
dc.contributor.authorKaradeniz, E.
dc.date.accessioned2025-12-10T22:45:16Z
dc.date.issued2014
dc.departmentOndokuz Mayıs Üniversitesien_US
dc.department-temp[Erdoǧan] Murat, Department of Orthopaedics and Traumatology, Ondokuz Mayis Üniversitesi, Samsun, Turkey; [Desteli] Engin Eren,; [Ímren] Yunus,; [Yüce] Murat, Department of Child and Adolescent Psychiatry, Ondokuz Mayis Üniversitesi, Samsun, Turkey; [Büyükceran] İsmail, Department of Orthopaedics and Traumatology, Ondokuz Mayis Üniversitesi, Samsun, Turkey; [Karadeniz] Emre,en_US
dc.description.abstractPURPOSE OF THE STUDY To evaluate whether or not children with displaced proximal humerus fractures are more likely to have attention deficit and hyperactivity disorder (ADHD). PATIENTS AND METHOD Between January 2010 and February 2013, we retrospectively evaluated 42 children with proximal humerus fractures. Requirements for inclusion were an open epiphyseal plate and a non-pathological fracture of the proximal humerus. Fractures were classified according to Saiter-Harris, Neer and Horwitz. Following orthopaedic examination, all of the children were consulted to child psychiatry department of our hospital. Orthopaedic examination included a detailed physical examination; the assessment of the overall shoulder functions using the Constant score. Diagnostic and Statistical Manual of Mental Disorders, Text Revisions (DSM-IV-TR) were used for psychiatric examination. RESULTS 9 of the 42 children with proximal humerus fractures consulted to child psychiatry were put ADHD diagnoses (21 %). Of the remaining 33 children without ADHD diagnosis, 5 children were operated; percentage of surgery was 15%. We found statistically significant difference between the rates of ADHD diagnosed children with proximal humerus fractures and ADHD diagnoses in normal population (p<0.01). There was also statistically significant difference between operation rates of children with or without ADHD diagnosis (55 % vs. 15 %) (p<0,01). CONCLUSIONS ADHD can be accepted as a risk factor for sustaining high energy trauma and rate of ADHD children who were operated was significantly more than normal children. This might be due to more displaced, open fractures or polytrauma - higher energy trauma- they sustained. Deciding on the treatment method, surgery may be treatment of choice in certain children with severely displaced, irreducable, fractures or polytrauma with accompanying ADHD due to the potential difficulties during follow up period.en_US
dc.identifier.endpage226en_US
dc.identifier.issn0001-5415
dc.identifier.issue3en_US
dc.identifier.pmid24945391.0
dc.identifier.scopus2-s2.0-84903588896
dc.identifier.scopusqualityQ4
dc.identifier.startpage221en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12712/35233
dc.identifier.volume81en_US
dc.identifier.wosqualityQ4
dc.language.isoenen_US
dc.publisherGalen s.r.o. galen@galen.cz Na Belidle 34 Prague 5 150 00en_US
dc.relation.ispartofActa Chirurgiae Orthopaedicae et Traumatologiae Czechoslovacaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAttention Deficit Hyperactivity Disorderen_US
dc.subjectClosed Reductionen_US
dc.subjectPediatrieen_US
dc.subjectPercutaneous Pinningen_US
dc.subjectProximal Humerus Fractureen_US
dc.titleIs Attention Deficit and Hyperactivity Disorder a Risk Factor for Sustaining Fractures of Proximal Humerus?en_US
dc.title.alternativeJe Porucha Pozornosti a Hyperaktivita U Dětí Rizikovým Faktorem Pro Vznik Zlomeniny Proximálního Humeruen_US
dc.typeArticleen_US
dspace.entity.typePublication

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