The epidemiology of humeral shaft fractures

Tytherleigh-Strong, Graham; Walls, N.; McQueen, M. M.

doi:10.1302/0301-620x.80b2.8113

Cited by 167 publications

(132 citation statements)

References 10 publications

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“…Our results differed in the findings of the age, distribution, gender and mechanism of injury from previous reports [3,6,9].…”

Section: Discussioncontrasting

confidence: 99%

“…The studies from Europe show a bi-modal age distribution with a minor peak in the third decade and consisting mainly of men resulting from high-energy trauma and a second major peak in the eighth decade, mostly women with osteoporotic fractures resulting from simple falls [6,9]. Our result showed a single-peak distribution with a major peak in the third decade, as most young males suffered from high-energy trauma.…”

Section: Discussionmentioning

confidence: 44%

“…The epidemiological features of the humeral shaft fracture have been reported in European [6,9] and African subjects [3], but they are not available in the Taiwanese or the Asian groups. Our results differed in the findings of the age, distribution, gender and mechanism of injury from previous reports [3,6,9].…”

Section: Discussionmentioning

confidence: 99%

“…Our hospital serves a population of about 1,000,000 people in Taichung City of central Taiwan, and most of the patients with a traumatic event in this area were sent to the hospital. A diaphyseal fracture was defined as one occurring between the superior border of the insertion of the pectoralis major and the area immediately above the supracondylar ridge, according to Tytherleigh-Strong et al [9]. We excluded pathological fractures of the humeral shaft due to the definition of the true injury mechanism in our group.…”

Section: Introductionmentioning

confidence: 99%

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The epidemiology of traumatic humeral shaft fractures in Taiwan

Tsai

Fong

Chen

et al. 2008

International Orthopaedics (SICOT)

101

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We retrospectively analysed 106 consecutive traumatic humeral shaft fractures over a five-year period. The mechanism of injury, age, gender, fracture types, associated injury and the presence of injury to the radial nerve were reviewed. The incidence was about 10 per 100,000 per year; most were closed fractures in young males which had been sustained as a result of traffic accidents. The age-gender distribution was characterised by gradually increased incidence from the fifth decade in women, while it reached a peak at the third decade and decreased after the fifth decade in men. The results revealed different epidemiological features from previous studies. The epidemiology differs between ethnicity and country, and updating the epidemiological features of humeral shaft fractures may provide information for appropriate treatment programmes. This study documents the epidemiology of humeral shaft fracture in Taiwan, probably for the first time in this Asian community.

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“…Our results differed in the findings of the age, distribution, gender and mechanism of injury from previous reports [3,6,9].…”

Section: Discussioncontrasting

confidence: 99%

Section: Discussionmentioning

confidence: 44%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The epidemiology of traumatic humeral shaft fractures in Taiwan

Tsai

Fong

Chen

et al. 2008

International Orthopaedics (SICOT)

101

View full text Add to dashboard Cite

show abstract

“…Exposed fractures of the humeral shaft are rare (2,6) . In the majority of cases, HSFs are treated using nonsurgical methods, with good functional results (4,7,8) .…”

Section: Introductionmentioning

confidence: 99%

Humeral Shaft Fractures

Stannard¹,

Schmidt²

2016

Surgical Treatment of Orthopaedic Trauma

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Effect of Surgery vs Functional Bracing on Functional Outcome Among Patients With Closed Displaced Humeral Shaft Fractures

Rämö

Sumrein

Lepola

et al. 2020

JAMA

125

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IMPORTANCE Humeral shaft fractures traditionally have been treated nonsurgically, but there has been a steady increase in the rate of surgery over the past 2 decades without high-quality evidence to justify the trend.OBJECTIVE To compare the effectiveness of surgical treatment with open reduction and internal plate fixation to nonsurgical treatment with functional bracing in the treatment of closed humeral shaft fractures. DESIGN, SETTING, AND PARTICIPANTS Randomized clinical trial conducted at 2 university hospital trauma centers in Finland, enrollment between November 2012 and January 2018 with a final follow-up of January 2019. A total of 82 adult patients with closed, unilateral, displaced humeral shaft fracture met criteria for inclusion. Patients were excluded if they had cognitive disabilities preventing them from following the protocol or had multimorbidity or multiple trauma. INTERVENTIONS Patients were randomly assigned to surgical treatment with open reduction and internal plate fixation (n = 38) or to nonsurgical treatment with functional bracing (n = 44). MAIN OUTCOME AND MEASUREThe primary outcome was Disabilities of Arm, Shoulder and Hand (DASH) score at 12 months (range, 0 to 100 points, 0 denotes no disability and 100 extreme disability; minimal clinically important difference, 10 points). RESULTS Among 82 patients who were randomized (mean age, 48.9 years; 38 women [46%]; 44 men [54%]), 78 (95%) completed the trial. Thirteen (30%) of the patients assigned to functional bracing underwent surgery during the 12-month follow-up period to promote healing of the fracture. At 12 months, the mean DASH score was 8.9 (95% CI, 4.2 to 13.6) in the surgery group and 12.0 (95% CI, 7.7 to 16.4) in the bracing group (between-group difference, −3.1 points; 95% CI, −9.6 to 3.3; P = .34). Eleven patients (25%) allocated to functional bracing developed fracture nonunion. Three patients (8%) allocated to surgery developed a temporary radial nerve palsy.CONCLUSIONS AND RELEVANCE Among patients with closed humeral shaft fracture, internal fixation surgery, compared with nonoperative functional bracing, did not significantly improve functional outcomes at 12 months. However, the substantial amount of treatment crossover from nonoperative to surgical treatment should be considered when interpreting the trial results.

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The epidemiology of humeral shaft fractures

Cited by 167 publications

References 10 publications

The epidemiology of traumatic humeral shaft fractures in Taiwan

The epidemiology of traumatic humeral shaft fractures in Taiwan

Humeral Shaft Fractures

Effect of Surgery vs Functional Bracing on Functional Outcome Among Patients With Closed Displaced Humeral Shaft Fractures

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