Risk of hip fracture following a wrist fracture—A meta-analysis

Johnson, Nick R.; Stirling, Euan; Divall, Pip; Thompson, Jonathan R.; Ullah, Aamer; Dias, Joseph

doi:10.1016/j.injury.2016.11.002

Cited by 27 publications

(16 citation statements)

References 60 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The association between DRFs and a reduced bone mineral density in post-menopausal women is well established [6,7]. Furthermore, a DRF in this patient group has been shown to increase the risk of subsequent osteoporotic fractures in the vertebrae, proximal humerus and proximal femur [12,13]. The rising number of osteoporotic fractures in the western world due to greater life expectancy in combination with an increasingly active and demanding elderly population as well as more advanced and expensive treatment options pose a growing burden to the health care system [14][15][16].…”

Section: Introductionmentioning

confidence: 99%

Epidemiology, classification, treatment and mortality of distal radius fractures in adults: an observational study of 23,394 fractures from the national Swedish fracture register

Rundgren

Bojan

Navarro

et al. 2020

BMC Musculoskelet Disord

154

122

View full text Add to dashboard Cite

Background: Distal radius fractures are the most common of all fractures. Optimal treatment is still debated. Previous studies report substantial changes in treatment trends in recent decades. Few nationwide studies on distal radius fracture epidemiology and treatment exist, none of which provide detailed data on patient and injury characteristics, fracture pattern and mortality. The aim of this study was to describe the epidemiology, fracture classification, current treatment regimens and mortality of distal radius fractures in adults within the context of a large national register study. Methods: We performed a descriptive study using prospectively registered data from the Swedish fracture register. Included were all non-pathological distal radius fractures registered between January 1st 2015 and December 31st 2017 in patients aged 18 years and above. Nominal variables were presented as proportions of all registered fractures. Results: A total of 23,394 distal radius fractures in 22,962 patients were identified. The mean age was 62.7 ± 17.6 years for all, 65.4 ± 16.0 for women and 53.6 ± 20.0 for men. A simple fall was the most common cause of injury (75%, n = 17,643/23,394). One third (33%, n = 7783/21,723) of all fractures occurred at the patients' residence. 65% (n = 15,178/23,394) of all fractures were classified as extra-articular AO-23-A, 12% (n = 2770/23,394) as partially intraarticular AO-23-B and 23% (n = 5446/23,394) as intra-articular AO-23-C. The primary treatment was non-surgical for 74% (n = 17,358/23,369) and surgical for 26% (n = 6011/23,369) of all fractures. Only 18% of the AO-23-A fractures were treated surgically, compared to 48% of the AO-23-C fractures. The most frequently used surgical method was plate fixation (82%, n = 4954/5972), followed by pin/wire fixation (8.2%, n = 490/5972), external fixation (4.8%, n = 289/5972) and other methods (4.0%, n = 239/5972). The overall 30-day mortality was 0.4% (n = 98/23,394) and the 1-year mortality 2.9% (n = 679/23,394). Conclusion: This nationwide observational study provides comprehensive data on the epidemiology, fracture classification and current treatment regimens of distal radius fractures in a western European setting. The most common patient was an eldery woman who sustained a distal radius fracture through a simple fall in her own residence, and whose fracture was extra-articluar and treated non-surgically.

show abstract

Section: Introductionmentioning

confidence: 99%

Epidemiology, classification, treatment and mortality of distal radius fractures in adults: an observational study of 23,394 fractures from the national Swedish fracture register

Rundgren

Bojan

Navarro

et al. 2020

BMC Musculoskelet Disord

154

122

View full text Add to dashboard Cite

show abstract

“…The fracture may lead to substantial long-term disability and pain [2]. A distal radius fracture caused by low energy trauma is often the first indicator fracture in patients with osteoporosis, and the risk of sustaining further fractures increases after a distal radius fracture [3][4][5].…”

Section: Introductionmentioning

confidence: 99%

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

et al. 2020

View full text Add to dashboard Cite

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.

show abstract

“…Important to mention here is that patients with an osteoporotic forearm fracture are at risk for a subsequent fracture [11,23,24]. Women who have experienced a wrist fracture exhibit a risk (Hazard Ratio) of 1.48, 1.78 and 1.50 for experiencing a vertebral, humerus or hip fracture compared to women without wrist fracture, respectively [23].…”

Section: Discussionmentioning

confidence: 99%

“…Women who have experienced a wrist fracture exhibit a risk (Hazard Ratio) of 1.48, 1.78 and 1.50 for experiencing a vertebral, humerus or hip fracture compared to women without wrist fracture, respectively [23]. In addition, a meta-analysis concluded that women with a wrist fracture have an increased risk of 43% (Risk Ratio 1.43) for sustaining a hip fracture [24]. The just described data clearly indicate that forearm fractures have a serious impact on patients risk for subsequent fractures.…”

Section: Discussionmentioning

confidence: 99%

Number and Impact of Osteoporotic Forearm Fractures: An Analysis of German Hospital Data

Möckel

2020

Osteologie

View full text Add to dashboard Cite

Introduction Osteoporosis is a burden for Germany, however recent data on osteoporotic forearm fractures is missing. Methods Numbers of hospital diagnosed forearm fractures based on ICD-10 code S52.- for 2000 to 2017 were taken from GBE database. From this dataset, number of osteoporotic forearm fractures in patients aged 50+ years were calculated using age- and gender specific weighting factors. In addition, fracture rates per 100,000 people, total days in hospital and quality-adjusted life years (QALYs) lost due to osteoporotic forearm fractures were calculated. Results In 2017, a total of 69,046 osteoporotic forearm fractures were diagnosed in hospitals in patients aged 50+ years in Germany, which represents an increase of 48.8% since 2000. Age-adjusted fracture rates in women were 300/100,000 (standard error [SE] 1.25) in 2017 compared to 248/100,000 (SE 1.25) in 2000 (Odds ratio [OR]: 1.21 [95% confidence interval [CI]: 1.02; 1.43]; p = 0.026). In male patients fracture rates were 62/100,000 (SE 0.61) in 2017 and 53/100,000 (SE 0.65) in 2000 (OR: 1.17 [95% CI: 0.81; 1.69]; p = 0.401). However, highest numbers and rates of osteoporotic forearm fractures were seen in 2010.Osteoporotic forearm fractures resulted in 276,185 hospital days and 2,259 lost QALYs in patients aged 50+ years in 2017. Conclusion Number of osteoporotic forearm fractures increased from 2000 to 2017 in Germany and indicate a high burden of disease for patients and healthcare system.

show abstract

Risk of hip fracture following a wrist fracture—A meta-analysis

Cited by 27 publications

References 60 publications

Epidemiology, classification, treatment and mortality of distal radius fractures in adults: an observational study of 23,394 fractures from the national Swedish fracture register

Epidemiology, classification, treatment and mortality of distal radius fractures in adults: an observational study of 23,394 fractures from the national Swedish fracture register

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

Number and Impact of Osteoporotic Forearm Fractures: An Analysis of German Hospital Data

Contact Info

Product

Resources

About