The incidence of musculoskeletal injuries: a systematic review and meta-analysis

Abstract

Aims The aim of this systematic review and meta-analysis was to gather epidemiological information on selected musculoskeletal injuries and to provide pooled injury-specific incidence rates. Methods PubMed (National Library of Medicine) and Scopus (Elsevier) databases were searched. Articles were eligible for inclusion if they reported incidence rate (or count with population at risk), contained data on adult population, and were written in English language. The number of cases and population at risk were collected, and the pooled incidence rates (per 100,000 person-years) with 95% confidence intervals (CIs) were calculated by using either a fixed or random effects model. Results The screening of titles yielded 206 articles eligible for inclusion in the study. Of these, 173 (84%) articles provided sufficient information to be included in the pooled incidence rates. Incidences of fractures were investigated in 154 studies, and the most common fractures in the whole adult population based on the pooled incidence rates were distal radius fractures (212.0, 95% CI 178.1 to 252.4 per 100,000 person-years), finger fractures (117.1, 95% CI 105.3 to 130.2 per 100,000 person-years), and hip fractures (112.9, 95% CI 82.2 to 154.9 per 100,000 person-years). The most common sprains and dislocations were ankle sprains (429.4, 95% CI 243.0 to 759.0 per 100,000 person-years) and first-time patellar dislocations (32.8, 95% CI 21.6 to 49.7 per 100,000 person-years). The most common injuries were anterior cruciate ligament (17.5, 95% CI 6.0 to 50.2 per 100,000 person-years) and Achilles (13.7, 95% CI 9.6 to 19.5 per 100,000 person-years) ruptures. Conclusion The presented pooled incidence estimates serve as important references in assessing the global economic and social burden of musculoskeletal injuries. Cite this article: Bone Joint Res 2022;11(11):814–825.

Subcutaneous versus intravenous tramadol for extremity injury with moderate pain in the emergency department: a randomised controlled noninferiority trial

“…Musculoskeletal trauma is a common presentation in the emergency department (ED), with incidence rates as high as >400 per 100 000 person-years [1]. Tramadol is recommended in various pain management guidelines as the analgesia of choice for musculoskeletal trauma pain [2] due to its nonsteroidal anti-inflammatory (NSAIDs)-sparing effects [3].…”

Single-Use Reamer Shafts for Intramedullary Nail Fixation: An Addressable Source of Extraneous Cost and Medical Waste in Orthopaedic Surgery

“…1,6 A recent meta-analysis of musculoskeletal injuries in adults reported an estimated annual incidence of tibia and femur shaft fractures at 20.8/100,000 and 12.2/100,000 persons per year, respectively. 12 Based on these data, with more than 258,000,000 million adults in the United States as of 2021, an estimated 53,664 tibia shaft fractures and 31,476 femur fractures occur per year. 13 If all of these fractures underwent intramedullary nail fixation using single-use reamer shafts, this would result in an extraneous cost of $24.8 million dollars and more than 37,000 lbs of metal waste per year based on the data used in this study.…”

Effect of treadmill training on fibrocartilage complex repair in tendon-bone insertion healing in the postinflammatory stage

“…Tendon-bone insertion injury damage levels are high and frequently disabling, and the incidence rate is increasing annually. 1,2 According to previous surveys, [3][4][5] the incidence of rotator cuff injury alone is 19.0% to 32.0%; in the USA, over 250,000 rotator cuff repair operations are performed each year, and the rate of retearing after two years is 11.0% to 94.0%. 4 Nearly half of the patients' postoperative pain persists without relief.…”