Evaluation of the Relationship Between Orthopedic Injuries and Attention Deficit Hyperactivity Disorder in Childhood and Adolescence

Abstract

Aim:Attention deficit hyperactivity disorder (ADHD) is the most neurodevelopmental disorder in childhood, which causes repetitive trauma and extremity injuries. Oppositional defiant disorder (ODD) and conduct disorder (CD) are the most comorbid conditions of ADHD. Our study investigated the correlation between extremity trauma and ADHD’s subgroups in pediatric trauma patients and comparison with the control group. Our aim was to detect high-risk patients in pediatric extremity injuries and to prevent possible extremity injuries with early diagnosis.Materials and Methods:Between September 2018 and February 2019, 60 pediatric patients with extremity injuries (group 1) and non-traumatic reasons (group 2) were included in this prospective study consecutively. Patients were evaluated with the Conner’s Parent Rating Scale and Strength and Difficulties Questionnaire for ADHD subgroups, ODD and CD. Patients who received an initial diagnosis were evaluated by the Child and Adolescent Psychiatry Department of Trakya University Medical Hospital.Results:Patients who were diagnosed as ADHD were significantly higher in the trauma group (p=0.042), but no statistical significance was found in any subgroups of ADHD, ODD and CD.Conclusion:Our results were in accordance with the vast majority of current literature in which ADHD was found to be significantly higher in the trauma group. ADHD must be considered in pediatric trauma patients to prevent possible extremity injuries.

Keywords

• pediatric trauma
• extremity injury
• attention deficit hyperactivity disorder
• inattentive
• hyperactive
• impulsivity