Epidemiology of Adult Fractures in Eastern Croatia by Cause of Injury, Fracture Location and Type of Treatment

Abstract

This retrospective study investigated the impact of age on fracture occurrence through the comparison of two patient groups, 17-64 and 64+ age groups. Study data covered all fractures treated at a large hospital in eastern Croatia. A total of 15,519 patients with fractures were treated at the trauma department (inpatient and outpatient), with a total of 17,257 fractures presented, 71% managed as outpatients and 29% as inpatients. A total of 11,046 outpatients were treated for 12,187 fractures and a total of 4473 inpatients were treated for 5070 fractures. The group of 17-64-year old males had 5787 fractures, accounting for 34% of all fractures presented. The group of 17-64-year old females had 4094 fractures, accounting for 24% of total fractures. The group of 65+ year-old males had 2659 fractures, accounting for 15% of all fractures presented and the group of 65+ year-old females presented with 4717 fractures, accounting for 27% of all fractures presented. The 'fall in level' was the predominant cause of injury in all patients. The characteristics of osteoporotic bone fractures were evident in the population of 65+ females and to a lesser degree in 65+ males. The 17-64 age group, both males and females, had more fractures considered as high-energy fractures.

Comparative Radiological Diagnostics of Acute Triangular Fibrocartilage Complex Injuries

“…All MRI images, in our study, were evaluated by one musculoskeletal radiologist, therefore we did not assess inter-observer variation. However, several studies report that even though the images were analyzed by multiple radiologists, all decisions were made by consensus 18,20,23,[31][32][33] .…”

Bone Markers in Arthropathies

“…Osteoporosis was defined as deterioration of bone mass and is associated with increased risk of fracture, bone fractures being manifest in females over 65 years of age and to a lesser extent in males over 65 81 . Osteoporotic fractures pose a major problem worldwide; therefore, the Bone Marker Standards Working Group 82 proposes the specific markers of bone resorption and bone formation be taken into consideration in all future studies.…”

The Reliability and Accuracy of the Medial Malleolar Fracture Classification Based on 3D CT Reconstruction

“…1,2 The incidence of ankle fractures is about 112-187 per 100,000 people annually, which has increased 319% in the past three decades. 1,2 Ankle fractures (42.6%) have a medial malleolar component, which plays an important role in the configuration and stability of ankle joints. 3,4 The current standard classification of medial malleolar fractures is the Herscovici classification, [5][6][7] which divides medial malleolar fractures into four types according to the anteroposterior radiograph: type-A, avulsion fracture at the tip of medial malleolar; type-B, a fracture located between the tip and tibial plafond; type-C, a fracture located at the level of plafond; and type-D, a fracture extended vertically to the metaphyseal region (Fig.…”

“…Ankle fractures are one of the most common fractures, accounting for about 9% of all fractures 1,2 . The incidence of ankle fractures is about 112–187 per 100,000 people annually, which has increased 319% in the past three decades 1,2 .…”

“…Ankle fractures are one of the most common fractures, accounting for about 9% of all fractures 1,2 . The incidence of ankle fractures is about 112–187 per 100,000 people annually, which has increased 319% in the past three decades 1,2 . Ankle fractures (42.6%) have a medial malleolar component, which plays an important role in the configuration and stability of ankle joints 3,4 …”