Mandibular fractures and dental injuries sustained during baseball and softball over 14 years in a Japanese population: A retrospective multicentre study.
baseball
dental trauma
mandible fractures
softball
Journal
Dental traumatology : official publication of International Association for Dental Traumatology
ISSN: 1600-9657
Titre abrégé: Dent Traumatol
Pays: Denmark
ID NLM: 101091305
Informations de publication
Date de publication:
Apr 2020
Apr 2020
Historique:
received:
09
07
2019
revised:
27
08
2019
accepted:
27
08
2019
pubmed:
1
9
2019
medline:
25
9
2020
entrez:
1
9
2019
Statut:
ppublish
Résumé
Active participation in sports is a risk factor for maxillofacial fractures. The aim of this retrospective multicentre study was to survey and evaluate the characteristics of mandibular fractures, and dental injuries that occurred during the practice of baseball and softball in Sendai, Japan. The records of 454 patients with maxillofacial fractures from three departments of Oral and Maxillofacial Surgery across a period 14 years were analysed. Fifty-one patients with 56 mandible fractures and dental injuries that occurred playing baseball or softball were included in this multicenter retrospective study. Patients were divided according to age, gender, sites of fractures, mechanism of fractures and treatment methods. There were 42 males and nine females, with a male-to-female ratio of 4.7:1.0. The mean age was 19.9 years old (range: 13-47 years old). As for the site, body of the mandible fractures prevailed, followed by the condyle, symphysis and angle. Fractures were mostly caused by the impact of a ball (42; 82.4%), followed by collisions with another player (5; 9.8%) and direct strike of a bat (4; 7.8%). All patients with mandibular fractures were treated with open reduction and internal fixation, except for six patients with condylar head fractures who were managed conservatively. The impact of a thrown ball against the batter's mandible can cause a condylar fracture when playing baseball and softball.
Sections du résumé
BACKGROUND/AIM
OBJECTIVE
Active participation in sports is a risk factor for maxillofacial fractures. The aim of this retrospective multicentre study was to survey and evaluate the characteristics of mandibular fractures, and dental injuries that occurred during the practice of baseball and softball in Sendai, Japan.
MATERIAL AND METHODS
METHODS
The records of 454 patients with maxillofacial fractures from three departments of Oral and Maxillofacial Surgery across a period 14 years were analysed. Fifty-one patients with 56 mandible fractures and dental injuries that occurred playing baseball or softball were included in this multicenter retrospective study. Patients were divided according to age, gender, sites of fractures, mechanism of fractures and treatment methods.
RESULTS
RESULTS
There were 42 males and nine females, with a male-to-female ratio of 4.7:1.0. The mean age was 19.9 years old (range: 13-47 years old). As for the site, body of the mandible fractures prevailed, followed by the condyle, symphysis and angle. Fractures were mostly caused by the impact of a ball (42; 82.4%), followed by collisions with another player (5; 9.8%) and direct strike of a bat (4; 7.8%). All patients with mandibular fractures were treated with open reduction and internal fixation, except for six patients with condylar head fractures who were managed conservatively.
CONCLUSIONS
CONCLUSIONS
The impact of a thrown ball against the batter's mandible can cause a condylar fracture when playing baseball and softball.
Types de publication
Journal Article
Multicenter Study
Langues
eng
Pagination
156-160Informations de copyright
© 2019 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Références
Boffano P, Roccia F, Zavattero E, Dediol E, Uglešić V, Kovačič Ž, et al. European maxillofacial trauma (EURMAT) project: a multicentre and prospective study. J Craniomaxillofac Surg. 2015;43:62-70.
Bali R, Sharma P, Garg A, Dhillon G. A comprehensive study on maxillofacial trauma conducted in Yamunanagar, India. J Inj Violence Res. 2013;5:108-16.
Erol B, Tanrikulu R, Gorgun B. Maxillofacial fractures. Analysis of demographic distribution and treatment in 2901 patients (25-year experience). J Craniomaxillofac Surg. 2004;32:308-13.
Gassner R, Tuli T, Hachl O, Rudisch A, Ulmer H. Cranio-maxillofacial fractures: a 10-year review of 9543 cases with 21 967 injuries. J Craniomaxillofacial Surg. 2003;31:51-61.
Boffano P, Kommers SC, Karagozoglou H, Forouzanfar T. Aetiology of maxillofacial fractures: a review of published studies during the last 30 years. Br J Oral Maxillofac Surg. 2014;52:901-6.
Van den Bergh B, Karagozoglu KH, Heymans MW, Forouzanfar T. Aetiology and incidence of maxillofacial trauma in Amsterdam: a retrospective analysis of 579 patients. J Craniomaxillofacial Surg. 2012;40:e165-e169.
Fasolo AO, Obiechina AE, Arotiba JT. Incidence and pattern of maxillofacial fractures in the elderly. Int J Oral Maxillofac Surg. 2003;32:206-8.
Rojas FA, Soto MB, Cachazo M, Dopazo JR, Velez H. The epidemiology of mandibular fractures in Caracas, Venezuela: Incidence and its combination patterns. Dent Traumatol. 2017;33:427-32.
Nogami S, Yamauchi K, Bottini GB, Otake Y, Sai Y, Morishima H, et al. Fall-related mandible fractures in a Japanese population: A retrospective study. Dent Traumatol. 2019;35:194-8.
Nogami S, Yamauchi K, Yamashita T, Kataoka Y, Hirayama B, Tanaka K, et al. Elderly patients with maxillofacial trauma: study of mandibular condyle fractures. Dent Traumatol. 2015;31:73-6.
Iida S, Kogo M, Sugiura T, Mima T, Matsuya T. Retrospective analysis of 1502 patients with facial fractures. Int J Oral Maxillofac Surg. 2001;30:286-90.
Bak MJ, Doerr TD. Craniomaxillofacial fractures during recreational baseball and softball. J Oral Maxillofac Surg. 2004;62:1209-12.
Yamamoto K, Matsusue Y, Horita S, Murakami K, Sugiura T, Kirita T. Trends and characteristics of maxillofacial fractures sustained during sports activities in Japan. Dent Traumatol. 2018;34:151-7.
Tanaka N, Hayashi S, Amagasa T, Kohama G. Maxillofacial fractures sustained during sports. J Oral Maxillofac Surg. 1996;54:715-9.
Nogami S, Yamauchi K, Bottini GB, Kouketsu A, Otake Y, Sai Y, et al. Do mandibular third molars play a role in fractures of the mandibular angle and condyle? J Craniofac Surg. 2018;29:e713-e717.
Choi BJ, Park S, Lee DW, Ohe JY, Kwon YD. Effect of lower third molars on the incidence of mandibular angle and condylar fractures. J Craniofac Surg. 2011;22:1521-5.
Pasternack JS, Veenema KR, Callahan CM. Baseball injuries: A little league survey. Pediatrics. 1996;98:445-8.
Nogami S, Takahashi T, Yamauchi K, Miyamoto I, Kaneuji T, Yamamoto N, et al. Clinical comparison between the retromandibular approach for reduction and fixation and endoscope-assisted open reduction and internal fixation for mandibular condyle fractures. J Craniofac Surg. 2012;23:1815-8.
Kondoh T, Hamada Y, Kamei K, Kobayakawa M, Horie A, Iino M, et al. Comparative study of intra-articular irrigation and corticosteroid injection versus closed reduction with intermaxillary fixation for the management of mandibular condyle fractures. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004;98:651-6.
Nogami S, Takahashi T, Ariyoshi W, Yoshiga D, Morimoto Y, Yamauchi K. Increased levels of interleukin-6 in synovial lavage fluid from patients with mandibular condyle fractures: correlation with magnetic resonance evidence of joint effusion. J Oral Maxillofac Surg. 2013;71:1050-8.
Gellrich NC, Schoen R. Condyle ascending ramus, and coronoid process fractures. In: Ehrenfeld M, Manson PN, Prein J. Principles of internal fixation of the craniomaxillofacial skeleton. Trauma and orthognathic surgery. Stuttgart, Germany: Thieme, 2012; p. 159-67.