Bentohami A, Bosma J, Akkersdijk G J M, van Dijkman B, Goslings J C, Schep N W L
Department of Surgery, Spaarne Ziekenhuis, Spaarnepoort 1, 2134 TM, Hoofddorp, The Netherlands.
Department of Surgery, Onze Lieve Vrouwe Gasthuis, Amsterdam, The Netherlands.
Eur J Trauma Emerg Surg. 2014 Jun;40(3):357-61. doi: 10.1007/s00068-014-0394-7. Epub 2014 Mar 27.
The increasing incidence of distal radius fracture is thought to be due to the aging population. Surprisingly, some authors have reported a decrease in the incidence of distal radius fracture. Moreover, the type-specific incidence of distal radial fracture classified according to fracture severity is not well documented. The aim of this population-based study was to estimate the overall and type-specific incidences of distal radius fracture in a urban population in The Netherlands. During 2009, all persons aged ≥18 years old with an acute distal radius fracture in two hospitals in The Netherlands were prospectively registered. In 2009, the mid-year study population consisted of 245,559 inhabitants ≥18 years old. Fractures were categorized according to the AO classification. 494 patients with acute distal radius fractures were registered in the two participating hospitals during the 1-year study period. The overall incidence of distal radius fracture was 20 per 10,000 person-years. Among women, the incidence rate increased from the age of 50 and reached a peak of 124 per 10,000 person-years in women 80 years and older. Among men, the incidence rate was low until the age of 80 years and older, and reached a peak of 24 per 10,000 person-years. The incidence rate among women between 50 and 79 years was 54/10,000 person-years. Extra-articular AO type A fractures were most common among all age groups, comprising 50 % of all fractures (40 % in men and 53 % in women). The overall incidence rate of distal radius fracture was 20 per 10,000 person-years. This incidence increases with age for both women and men. A lower incidence rate among women 50-79 years of age was found than previously reported, which may indicate a declining incidence in this age group. Extra-articular AO type A fractures were the most common fracture types.
桡骨远端骨折发病率的上升被认为是由于人口老龄化。令人惊讶的是，一些作者报告桡骨远端骨折的发病率有所下降。此外，根据骨折严重程度分类的桡骨远端骨折的特定类型发病率尚无充分记录。这项基于人群的研究旨在估计荷兰城市人群中桡骨远端骨折的总体发病率和特定类型发病率。2009年期间，对荷兰两家医院中所有年龄≥18岁的急性桡骨远端骨折患者进行了前瞻性登记。2009年年中，研究人群包括245,559名年龄≥18岁的居民。骨折根据AO分类进行归类。在为期1年的研究期间，两家参与研究的医院共登记了494例急性桡骨远端骨折患者。桡骨远端骨折的总体发病率为每10,000人年20例。在女性中，发病率从50岁开始上升，在80岁及以上的女性中达到每10,000人年124例的峰值。在男性中，发病率在80岁及以上之前较低，达到每10,000人年24例的峰值。50至79岁女性的发病率为每10,000人年54例。关节外AO A型骨折在所有年龄组中最为常见，占所有骨折的50%（男性为40%，女性为53%）。桡骨远端骨折的总体发病率为每10,000人年20例。男女发病率均随年龄增长而增加。发现50至79岁女性的发病率低于先前报道，这可能表明该年龄组发病率在下降。关节外AO A型骨折是最常见的骨折类型。
