{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T01:56:19Z","timestamp":1780365379660,"version":"3.54.1"},"reference-count":15,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2022,4,1]],"date-time":"2022-04-01T00:00:00Z","timestamp":1648771200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Children's Orthopaedics"],"published-print":{"date-parts":[[2022,4]]},"abstract":"\n Purpose:<\/jats:title>\n This study examined the volume and characteristics of common surgically treated fractures in children during the COVID-19 pandemic. The worldwide spread of COVID-19 affected the society in numerous ways. Social distancing led to changes in the types of activities performed by individuals, including children. Physicians saw a shift in orthopedic trauma volume and distribution. We predicted that with the change in activities children participated in, the number or type of injuries sustained would change as well.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n A retrospective review was performed of children who sustained a surgically treated fracture of the forearm, supracondylar humerus, femur, or any open fracture during the COVID-19 pandemic compared to the previous 2\u2009years (pre-pandemic). Patient demographics, insurance status, and mechanism of injury were recorded. Statistical analysis was performed.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n Review of the medical records identified 791 children. The number of fractures decreased from an average of 295 per year pre-pandemic to 201 during the pandemic (p\u2009=\u20090.09). During the pandemic, there was a decrease in injuries resulting from a fall from the monkey bars for supracondylar humerus (21.2% to 8.2%, p\u2009<\u20090.01) and for forearm fractures (15.5% to 4.3%, p\u2009=\u20090.04). In contrast, the frequencies of falls from a skateboard, hoverboard, scooter, or bicycle and falls from household furniture increased during the pandemic.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n The observed decrease in monkey bar\u2013related injuries provides further evidence as to the dangers of this piece of playground equipment in contributing to upper-extremity fractures in children.<\/jats:p>\n <\/jats:sec>\n \n Level of evidence:<\/jats:title>\n Level III: Prognostic and Epidemiological.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/18632521221090135","type":"journal-article","created":{"date-parts":[[2022,4,30]],"date-time":"2022-04-30T06:58:34Z","timestamp":1651301914000},"page":"83-87","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["COVID-19 pandemic restrictions unmasks dangers of frequent injury mechanisms for common surgically treated pediatric fractures"],"prefix":"10.1177","volume":"16","author":[{"given":"Bryn R","family":"Gornick","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Children\u2019s Hospital of Orange County, Orange, CA, USA"},{"name":"Pediatric Orthopedic Specialists of Orange County, Orange, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3933-4641","authenticated-orcid":false,"given":"Mashgan","family":"Mostamand","sequence":"additional","affiliation":[{"name":"School of Medicine, University of California, Riverside, Riverside, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evelyn S","family":"Thomas","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Children\u2019s Hospital of Orange County, Orange, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Weber","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Riverside University Health System Medical Center, Moreno Valley, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8389-8407","authenticated-orcid":false,"given":"John A","family":"Schlechter","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Children\u2019s Hospital of Orange County, Orange, CA, USA"},{"name":"Pediatric Orthopedic Specialists of Orange County, Orange, CA, USA"},{"name":"Department of Orthopaedic Surgery, Riverside University Health System Medical Center, Moreno Valley, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,4,30]]},"reference":[{"key":"bibr1-18632521221090135","unstructured":"World Health Organization. Coronavirus, https:\/\/www.who.int\/emergencies\/diseases\/novel-coronavirus-2019 (accessed 19 March 2021)."},{"key":"bibr2-18632521221090135","doi-asserted-by":"publisher","DOI":"10.1186\/s40621-020-00275-w"},{"key":"bibr3-18632521221090135","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0000000000001154"},{"key":"bibr4-18632521221090135","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0000000000001600"},{"key":"bibr5-18632521221090135","doi-asserted-by":"publisher","DOI":"10.1542\/peds.103.5.e58"},{"issue":"1","key":"bibr6-18632521221090135","first-page":"e6534","volume":"12","author":"Teitelbaum MP","year":"2020","journal-title":"Cureus"},{"key":"bibr7-18632521221090135","doi-asserted-by":"publisher","DOI":"10.1007\/s11420-020-09807-y"},{"key":"bibr8-18632521221090135","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2020.09.015"},{"key":"bibr9-18632521221090135","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2020.07.001"},{"key":"bibr10-18632521221090135","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-021-04128-5"},{"key":"bibr11-18632521221090135","doi-asserted-by":"publisher","DOI":"10.1177\/1457496920968014"},{"key":"bibr12-18632521221090135","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2007.12.061"},{"issue":"11","key":"bibr13-18632521221090135","first-page":"e3548","volume":"10","author":"Migneault D","year":"2018","journal-title":"Cureus"},{"issue":"4","key":"bibr14-18632521221090135","first-page":"e7734","volume":"12","author":"Pilla NI","year":"2020","journal-title":"Cureus"},{"key":"bibr15-18632521221090135","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2012-2082"}],"container-title":["Journal of Children's Orthopaedics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/18632521221090135","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/18632521221090135","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/18632521221090135","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T15:06:46Z","timestamp":1777388806000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/18632521221090135"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4]]},"references-count":15,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2022,4]]}},"alternative-id":["10.1177\/18632521221090135"],"URL":"https:\/\/doi.org\/10.1177\/18632521221090135","relation":{},"ISSN":["1863-2521","1863-2548"],"issn-type":[{"value":"1863-2521","type":"print"},{"value":"1863-2548","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,4]]}}}