District Hospital of Orthopedics and Trauma Surgery, Bytomska 62 str., 41-940, Piekary Slaskie, Poland.
School of Health Sciences in Katowice, Medical University of Silesia, Medykow 18 str., 40-752, Katowice, Poland.
Knee Surg Sports Traumatol Arthrosc. 2018 Aug;26(8):2454-2464. doi: 10.1007/s00167-018-4924-4. Epub 2018 Apr 2.
The aim of the study was to identify and analyze non-modifiable risk factors for recurrence after a first-time post-traumatic dislocation of the shoulder in the entire Polish population.
The entire Polish population was included in a cohort study. Patients diagnosed with primary post-traumatic dislocation of the shoulder between January 1st, 2010 and December 31st, 2011 were identified and followed up from January 1st, 2010 to December 31st, 2014. Incidence and recurrence rates and odds ratios (OR) were calculated. Demographic data were obtained from Poland's Central Statistical Office. Data on the number of patients with primary post-traumatic shoulder dislocation were drawn from the National Health Fund database.
A total of 21,739 patients (14,466 males and 7273 females) with a primary shoulder dislocation in Poland were identified in 2010 and 2011. There were 3341 (15.4%) recurrences. Increased risk of recurrence was associated with male gender (OR = 1.92, 95% CI 1.76-2.09, p < 10) in the age range of 20-29 years (OR = 2.59, 95% CI 2.38-2.83, p < 10). The highest risk of first-time shoulder dislocation was revealed among females in the age group ≥ 80 years (OR = 24.1, 95% CI 22.6-25.7, p < 10). The risk of recurrence in the same group was significantly decreased (OR = 0.41, 95% CI 0.32-0.51, p < 10).
Male gender and age range 20-29 years are highest population risk factors for recurrence after primary shoulder dislocation. Female gender and age ≥ 80 years are highest risk factors for the first-time post-traumatic dislocation of the shoulder joint and protective factors for recurrences after the first-time shoulder dislocation.
III.
本研究旨在确定和分析波兰全体人群中首次创伤性肩关节脱位后复发的不可改变的危险因素。
本研究采用队列研究纳入了波兰全体人群。2010 年 1 月 1 日至 2011 年 12 月 31 日期间，确诊为首次创伤性肩关节脱位的患者被识别出来，并随访至 2014 年 12 月 31 日。计算发病率和复发率以及比值比（OR）。人口统计学数据来自波兰中央统计局。关于首次创伤性肩关节脱位患者人数的数据来自国家卫生基金数据库。
2010 年和 2011 年，在波兰共确定了 21739 例（14466 例男性和 7273 例女性）首次肩关节脱位患者，其中有 3341 例（15.4%）复发。男性（OR=1.92，95%CI 1.76-2.09，p<0.001）和 20-29 岁（OR=2.59，95%CI 2.38-2.83，p<0.001）年龄组的复发风险增加。首次肩关节脱位的最高风险发生在≥80 岁的女性中（OR=24.1，95%CI 22.6-25.7，p<0.001）。同一组的复发风险显著降低（OR=0.41，95%CI 0.32-0.51，p<0.001）。
男性和 20-29 岁年龄组是首次肩关节脱位后复发的最高人群危险因素。女性和≥80 岁年龄组是首次创伤性肩关节脱位的最高风险因素，也是首次肩关节脱位后复发的保护因素。
III 级。
