Letters Section Editor: Stephen J. Lurie,
MD, PhD, Senior Editor.
To the Editor: Dr Khosla and colleagues1 found an increasing incidence of distal forearm
fractures in children during the past 30 years. The authors suggested that
this might be a reflection of changing patterns of physical activity or possibly
of decreased bone acquisition due to poor calcium intake. It is also possible,
however, that parents have had increasing access to diagnosis and medical
care during this time. Similarly, physicians may be more likely to order radiographs
than they were 30 years ago. An analysis of rates of negative radiographic
examinations over the past 30 years may help to resolve this possible source
Swiontkowski MF. Increasing Rates of Forearm Fractures in ChildrenIncreasing Rates of Forearm Fractures in Children. JAMA. 2003;290(24):3193. doi:10.1001/jama.290.24.3193-a
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