Horak J, Nilsson B E
Clin Orthop Relat Res. 1975 Oct(112):250-3.
The age and sex specific indicence was calculated in 729 cases of fracture of the upper end of the humerus. The prevalence of other fractures and conditions in these patients was investigated. The age and sex specific incidence is as that of femoral neck fracture with a rapid increase with age, twice as fast in women as in men. Only fractures which include evulsion of the greater tuberosity deviate somewhat from that pattern. The more displaced fractures have a tendency to occur later in life. The prevalence of other fractures is about doubled in patients with fracture of the proximal end of the humerus as compared to age and sex matched controls. This is true for fracture of the distal end of the forearm and fracture of the upper end of the femur but also for other fractures. The prevalence of severe alcoholism was significantly greater than in controls. A history of gastric resection was in these patients about three times as frequent as in a control sample. We conclude that fracture of the upper end of the humerus must be assigned a prominent place in the category of bone fragility fractures.
我们对729例肱骨上端骨折病例计算了年龄和性别特异性发病率。并对这些患者中其他骨折和病症的患病率进行了调查。年龄和性别特异性发病率与股骨颈骨折相似，随年龄快速上升，女性上升速度是男性的两倍。只有包括大结节撕脱的骨折在一定程度上偏离了这种模式。移位越明显的骨折往往在生命后期发生。与年龄和性别匹配的对照组相比，肱骨近端骨折患者中其他骨折的患病率大约翻倍。前臂远端骨折、股骨上端骨折以及其他骨折均是如此。严重酗酒的患病率显著高于对照组。这些患者中胃切除术史的发生率约为对照样本的三倍。我们得出结论，肱骨上端骨折在骨脆性骨折类别中必须占据显著地位。
