Ekholm R, Adami J, Tidermark J, Hansson K, Törnkvist H, Ponzer S
Department of Orthopaedics, Stockholm Söder Hospital, Stockholm, Sweden.
J Bone Joint Surg Br. 2006 Nov;88(11):1469-73. doi: 10.1302/0301-620X.88B11.17634.
We studied the epidemiology of 401 fractures of the shaft of the humerus in 397 patients aged 16 years or older. The incidence was 14.5 per 100,000 per year with a gradually increasing age-specific incidence from the fifth decade, reaching almost 60 per 100, 000 per year in the ninth decade. Most were closed fractures in elderly patients which had been sustained as the result of a simple fall. The age distribution in women was characterised by a peak in the eighth decade while that in men was more even. Simple fractures were by far the most common and most were located in the middle or proximal shaft. The incidence of palsy of the radial nerve was 8% and fractures in the middle and distal shaft were most likely to be responsible. Only 2% of the fractures were open and 8% were pathological. These figures are representative of a population with a low incidence of high-energy and penetrating trauma, which probably reflects the situation in most European countries.
我们研究了397名16岁及以上患者的401例肱骨干骨折的流行病学情况。发病率为每年每10万人中有14.5例，自第五个十年起年龄特异性发病率逐渐上升，在第九个十年达到每年每10万人近60例。大多数是老年患者的闭合性骨折，由简单跌倒所致。女性的年龄分布特点是在第八个十年出现峰值，而男性的分布则更为均匀。简单骨折是迄今为止最常见的，大多数位于中段或近端。桡神经麻痹的发生率为8%，中段和远端骨折最有可能是其原因。只有2%的骨折为开放性骨折，8%为病理性骨折。这些数据代表了高能和穿透性创伤发生率较低的人群，这可能反映了大多数欧洲国家的情况。
