Affiliated Hospital of Jiangsu University, Zhenjiang Jiangsu, China.
BMC Musculoskelet Disord. 2023 Aug 2;24(1):627. doi: 10.1186/s12891-023-06742-x.
To investigate the characteristics and seasonal patterns of distal radius fractures (DRFs) over the preceding five years, with the aim of establishing a clinical foundation for the prevention and management of such fractures within this region.
Utilizing the Picture Archiving and Communication Systems (PACS), the clinical records of 1954 patients diagnosed with DRFs and admitted to the Affiliated Hospital of Jiangsu University between January 2017 and December 2021 were compiled. The analysis encompassed factors such as age, gender, visitation timing, fracture side, and presence of osteoporosis.
Out of the total 1954 distal radius fractures, 731 were males (37.4%) and the male to female ratio was 0.59:1. The median age of patients with DRFs was 56 years, with the 25th percentile being 38 years and the 75th percentile being 67 years. The average age was 50 years (standard deviation 23.3) and 1033 cases (52.7%) occurred on the left side, 885 cases (45.1%) on the right side, and 36 cases (1.8%) were bilateral, with the left side being the most frequently affected. The age group of 61-70 years (23.9%, 467/1954) exhibited the highest proportion, and the most prominent age group for males was 11-20 years (23.8%, 174/731), whereas for females it was 61-70 years (30.83%, 377/1223). In the 50 years and older group, there were 276 males and 991 females (ratio 1:3.59), with osteoporosis in 536 cases, accounting for 42.03% of the group. In terms of seasonal distribution, the highest incidence occurred during the summer and autumn months (55.1%, 1076/1954) and there were gender differences in different seasons.
In east China, DRFs were predominantly female and left-sided, with the highest proportion in the age group of 61-70 years and in summer and autumn. Furthermore, gender differences were observed between the warm and cold seasons.
研究过去五年中桡骨远端骨折（DRF）的特征和季节模式，旨在为该地区此类骨折的预防和管理提供临床依据。
利用图像存档与通信系统（PACS），对 2017 年 1 月至 2021 年 12 月期间在江苏大学附属医院就诊并确诊为 DRF 的 1954 例患者的临床记录进行汇编。分析内容包括年龄、性别、就诊时间、骨折侧别以及骨质疏松症等因素。
在 1954 例桡骨远端骨折中，男性 731 例（37.4%），男女比例为 0.59:1。DRF 患者的中位年龄为 56 岁，25%位数为 38 岁，75%位数为 67 岁。平均年龄为 50 岁（标准差 23.3），1033 例（52.7%）发生在左侧，885 例（45.1%）发生在右侧，36 例（1.8%）为双侧，左侧最常受累。61-70 岁年龄组（23.9%，467/1954）比例最高，男性最突出的年龄组为 11-20 岁（23.8%，174/731），女性最突出的年龄组为 61-70 岁（30.83%，377/1223）。50 岁及以上组中，男性 276 例，女性 991 例（比例 1:3.59），骨质疏松症 536 例，占该组的 42.03%。在季节分布方面，夏季和秋季发病率最高（55.1%，1076/1954），且不同季节男女发病率存在差异。
在中国东部，DRF 主要发生在女性和左侧，61-70 岁年龄组和夏秋季发病率最高。此外，在暖季和冷季之间观察到性别差异。
