Epidemiology and time trends of distal forearm fractures in adults - a study of 11.2 million person-years in Sweden

Jerrhag, Daniel; Englund, Martin; Karlsson, Magnus K.; Rosengren, Björn

doi:10.1186/s12891-017-1596-z

Cited by 80 publications

(66 citation statements)

References 45 publications

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“…Our study compared the incidence of distal radius fracture over time in the same geographical region and used wrist radiographs to identify and verify fracture cases. Our results are in contrast to a register-based study from Skåne region in Sweden [24] that reported a significant increase in the incidence of distal forearm fracture from 1999 to 2010, in both men and women. Our results are also in contrast to a study from Taiwan that reported annual increase in the incidence of distal radius fracture between years 2000 and 2007 [25].…”

Section: Discussioncontrasting

confidence: 99%

Incidence of distal radius fracture in a general population in southern Sweden in 2016 compared with 2001

et al. 2020

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In this population-based study, we compared the incidence of distal radius fracture in 2016 with that in the same region's adult general population in 2001 using radiographs to identify fracture cases. We showed that the incidence decreased by 24% in 2016 compared with 2001 indicating an important development.Introduction We conducted an epidemiological study on residents of northeastern Skåne in southern Sweden (population 182,000) to determine the overall incidence of distal radius fracture and the incidence according to age, sex, and fracture characteristics in the region's adult population during 2016, and to study the change in incidence in the same general population between 2001 and 2016 using wrist radiographs to identify fracture cases. Methods Two orthopedic surgeons examined all wrist radiographs performed at the only two emergency hospitals in the study region to identify individuals, above 18 years of age, who sustained fracture of the distal radius during 2016. We used Poisson regression analysis adjusting for age, sex, and at-risk population to compare the incidence in 2016 with the incidence in 2001, previously estimated using similar methodology. Results The overall incidence in 2016 was 22 (95% CI 20-25) per 10,000; the incidence in women was 34 (95% CI 30-39) and in men was 10 (95% CI 8-12) per 10,000. The overall incidence in 2016 was 0.76 (95% CI 0.70-0.82) of the incidence in 2001 (p < 0.0001). The incidence in the 3 age groups 19-49, 50-79, and ≥ 80 years was 0.91 (95% CI, 0.69-1.20), 0.67 (95% CI, 0.55-0.82), and 0.49 (95% CI, 0.25-0.97) of the incidence in 2001, respectively. Conclusion In a general population in Sweden, a statistically significant and clinically important decrease in the incidence of distal radius fracture occurred between 2001 and 2016, driven by lower incidence in individuals 50 years or older.

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Section: Discussioncontrasting

confidence: 99%

Incidence of distal radius fracture in a general population in southern Sweden in 2016 compared with 2001

et al. 2020

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“…In light of this, surgeons will be confronted with higher numbers of (low-energy-associated fractures due to age-related diseases like osteoporosis and accidental falls [4,5]. Especially, osteoporosis, with high prevalence in people over 50 years [6], causes typical fractures of the elderly affecting the proximal humerus, distal radius, proximal femur, ankle joint, spine and pelvis [7][8][9][10]. Treatment of these fractures and comorbidities respectively represents a challenge for the attending physician.…”

Section: Introductionmentioning

confidence: 99%

Trends in fracture development of the upper extremity in Germany—a population-based description of the past 15 years

Hemmann¹,

Ziegler²,

Konrads³

et al. 2020

J Orthop Surg Res

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Background: Recent studies investigating fracture development in Germany are not available especially with regard to demographic change. The primary aim of this study was to report trends in fracture development of the upper extremity in Germany between 2002 and 2017 and to evaluate changes over time.Methods: Evaluating inpatient data from the German National Hospital Discharge Registry (International Classification of Diseases, ICD-10) between 2002 and 2017. Total count, incidences and percentage changes of the following fracture localizations were analysed: proximal humerus, distal humerus, proximal ulna, proximal radius, ulna diaphysis (including Monteggia lesion) and distal radius. Ten age groups for men and women were formed: 35-44, 45-54, 55-64, 65-74; 75-84; 85-90, and > 90 (years). Results: The total count of proximal humeral fractures increased from 40,839 (2002, men/women 9967/30,872) to 59,545 (2017, men/women 14,484/45,061). Distal humeral fractures increased from 5912 (2002, men/women 1559/ 4353) to 6493 (2017, men/women1840/4653). The total count of forearm fractures increased from 68,636 (2002, men/women 17,186/51,450) to 89,040 (2017, men/women 20,185/68,855). Women were affected in 70-75% of all cases with rising incidences among nearly every age group in female patients. Conclusion: Total count of nearly every evaluated fracture increased. Also, incidences increased especially in the older female age groups. Fracture development already seems to reflect demographic changes in Germany.

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“…The most frequent fracture in adults is the distal radius fracture. The reported incidence rate in Southern Sweden is as high as 278 per 100,000 person years and increasing, especially among those of working age [1,2]. Although a distal radius fracture is often regarded as simple with good prognosis, a considerable number of individuals experience prolonged pain and disability [3].…”

Section: Introductionmentioning

confidence: 99%

Disability and Pain are the Best Predictors of Sick Leave After a Distal Radius Fracture in Men

et al. 2020

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Purpose Distal radius fracture often compromises working ability, but clinical implications are less studied in men due to its lower incidence. This study therefore describes sick leave in men with distal radius fracture, specifically exploring the impact of patient-and fracture-related factors. Methods Professionally active men aged 20-65 with distal radius fracture were followed prospectively for 1-year (n = 88). Data included treatment method, radiographic parameters pre/post treatment, complications, health, lifestyle and occupational demand. Patient outcomes were self-reported sick leave; Disability of the Arm, Shoulder and Hand (DASH) score; pain (5 likert scale); SF-36: Physical Component Scale (PCS) and Mental Component Scale (MCS). Results Median sick leave was 4 weeks (IQR 0; 8); almost a third reported taking no sick leave. Categorizing sick leave into 3 groups (0-6, 7-12 and > 12 weeks), men with the longest sick leave had 22 points higher DASH score (p = 0.001) and 5 points lower PCS (p = 0.02) at 1 week and the difference remained over time; they were also older and more often treated surgically. The strongest predictors of length of sick leave were one-week post-fracture DASH score (rs = 0.4, p < 0.001), pain intensity (rs = 0.4, p < 0.001) and PCS (rs = − 0.4, p = 0.002). The correlation between sick leave and pain was even stronger analyzing treatment groups separately (closed reduction and cast r s = 0.56, p = 0.007, surgery r s = 0.42, p = 0.04). Conclusions Self-reported disability, pain and global health measurements as early as 1 week post-fracture are the strongest predictors of length of sick leave regardless of treatment; an important finding easily transferrable to clinical management of distal radius fractures. Journal of Occupational RehabilitationPublisher's Note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

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Epidemiology and time trends of distal forearm fractures in adults - a study of 11.2 million person-years in Sweden

Cited by 80 publications

References 45 publications

Incidence of distal radius fracture in a general population in southern Sweden in 2016 compared with 2001

Incidence of distal radius fracture in a general population in southern Sweden in 2016 compared with 2001

Trends in fracture development of the upper extremity in Germany—a population-based description of the past 15 years

Disability and Pain are the Best Predictors of Sick Leave After a Distal Radius Fracture in Men

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