In an urban population of a quarter of a million, all shoulder dislocations that occurred in a 5-year period were recorded. A total of 216 shoulder dislocations were seen, 53.3% in men. The overall incidence rate was 17/100,000 per year. Incidence peaks were found in the age-group 21-30 years among men and in the age-group 61-80 years among women. Significantly more patients in the older age groups, and especially women, dislocated at home by falling on an outstretched arm, whereas the younger age-groups most frequently dislocated outside the home, e.g., on sports fields. A considerable number of patients (18.6%) were hospitalized, and 85.5% of the patients required outpatient follow-up. Prophylactic measures should be taken especially to increase the safety of the elderly in their homes.
Sevenhundred and thirty proximal humeral fractures, taken from a 5-year period, were entered in this study. We found a higher total incidence rate than that previously seen: 73/100,000 population. Twenty-nine percent of the patients required hospitalization; 75% of these were over 60 years old. Only 21% of these were operated on, the majority of admissions being for social reasons. A total of 583 bed-days were used each year in the Aarhus City area (250,000 inhabitants). The majority of fractures resulted from falls on level ground. The elderly fell at home, while the younger people fell in public areas. Traffic accidents and work accidents were seldom seen. The accidents occurred typically around midday and before midnight, and mostly in December and January. Half of the fractures were two-part fractures of the surgical neck, while fractures of the greater tubercle and three-part fractures accounted for 21% and 17%, respectively. Based on current developments in the population average life span, it can be expected that proximal fractures will increase the hospital workload significantly in the future.
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