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Epidemiology and patho-anatomical pattern of 2,011 humeral fractures: data from the Swedish Fracture Register

Overview of attention for article published in BMC Musculoskeletal Disorders, April 2016
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Title
Epidemiology and patho-anatomical pattern of 2,011 humeral fractures: data from the Swedish Fracture Register
Published in
BMC Musculoskeletal Disorders, April 2016
DOI 10.1186/s12891-016-1009-8
Pubmed ID
Authors

Carl Bergdahl, Carl Ekholm, David Wennergren, Filip Nilsson, Michael Möller

Abstract

Humeral fractures are common, but the association between the patho-anatomical fracture pattern and patient characteristics has been inadequately studied and epidemiological knowledge is scarce. Following the introduction of the Swedish Fracture Register (SFR), risk factors for various fractures can be studied, as well as the outcome of different treatments. The objective of this study was to analyse adult humeral fractures in Gothenburg from a descriptive epidemiological perspective. All humeral fractures registered in the SFR at Sahlgrenska University Hospital in 2011-2013 in patients aged ≥ 16 years were included. The fractures were divided into humeral segments (proximal, shaft and distal humerus) and analysed according to patient characteristics and patho-anatomical pattern. Furthermore, overall and age-specific incidence rates were calculated. A total of 2,011 humeral fractures were registered in the SFR, of which 79 % were proximal, 13 % shaft and 8 % distal humeral fractures. The mean age was 66.8 years and women ran a higher risk of humeral fractures than men (female/male ratio 2.4:1). On average, women were older than men at the time of fracture (mean age 70.1 years for women vs. 58.9 years for men). The overall incidence of humeral fractures was 104.7 per 100,000 inhabitants per year, with a segment-specific incidence of 83.0 for proximal fractures, 13.4 for shaft fractures and 8.3 per 100,000 person-years for distal fractures. There was a distinct increase in the age-specific incidence from the fifth decade and onwards, regardless of fracture site. Most fractures occurred in older patients (83 % > 50 years) as a result of a simple or an unspecified fall (79 % > 50 years). Only 1.2 % of all fractures were open injuries and 1.3 % were pathological. This population-based study provides updated epidemiological data on humeral fractures in a Western-European setting. Most humeral fractures occur as the result of low-energy falls in the elderly population, indicating the influence of age-related risk factors in these fractures. The SFR will be a useful tool for providing continuous information on fracture epidemiology, risk factors and treatment outcome and these population-based data are essential in the planning of future fracture prevention and management.

Twitter Demographics

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Mendeley readers

The data shown below were compiled from readership statistics for 136 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 136 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 20 15%
Other 17 13%
Researcher 16 12%
Student > Doctoral Student 14 10%
Student > Postgraduate 13 10%
Other 28 21%
Unknown 28 21%
Readers by discipline Count As %
Medicine and Dentistry 80 59%
Nursing and Health Professions 11 8%
Engineering 2 1%
Social Sciences 2 1%
Computer Science 1 <1%
Other 5 4%
Unknown 35 26%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 14 April 2016.
All research outputs
#5,715,502
of 7,551,260 outputs
Outputs from BMC Musculoskeletal Disorders
#1,569
of 1,989 outputs
Outputs of similar age
#189,479
of 269,823 outputs
Outputs of similar age from BMC Musculoskeletal Disorders
#57
of 82 outputs
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