Lind T, Krøner K, Jensen J
Department of Orthopedic Surgery, Aarhus County Hospital, Denmark.
Arch Orthop Trauma Surg. 1989;108(5):285-7. doi: 10.1007/BF00932316.
Sevenhundred and thirty proximal humeral fractures, taken from a 5-year period, were entered in this study. We found a higher total incidence rate than that previously seen: 73/100,000 population. Twenty-nine percent of the patients required hospitalization; 75% of these were over 60 years old. Only 21% of these were operated on, the majority of admissions being for social reasons. A total of 583 bed-days were used each year in the Aarhus City area (250,000 inhabitants). The majority of fractures resulted from falls on level ground. The elderly fell at home, while the younger people fell in public areas. Traffic accidents and work accidents were seldom seen. The accidents occurred typically around midday and before midnight, and mostly in December and January. Half of the fractures were two-part fractures of the surgical neck, while fractures of the greater tubercle and three-part fractures accounted for 21% and 17%, respectively. Based on current developments in the population average life span, it can be expected that proximal fractures will increase the hospital workload significantly in the future.
本研究纳入了5年间的730例肱骨近端骨折病例。我们发现其总发病率高于以往所见：每10万人中有73例。29%的患者需要住院治疗；其中75%的患者年龄超过60岁。这些患者中只有21%接受了手术，大多数住院是出于社会原因。奥胡斯市地区（25万居民）每年总共使用583个床位日。大多数骨折是由在平地上摔倒所致。老年人在家中摔倒，而年轻人在公共场所摔倒。交通事故和工作事故很少见。事故通常发生在中午左右和午夜之前，且大多发生在12月和1月。一半的骨折是外科颈的两部分骨折，而大结节骨折和三部分骨折分别占21%和17%。基于目前人口平均寿命的发展趋势，可以预计近端骨折在未来将显著增加医院的工作量。
