Liu Weibing, Li Yong, Zhong Faming, Wan Xuan, Xu Wangbing
Jiangxi University of Chinese Medicine, Nanchang, Jiangxi, China.
Department of Orthopedics and Traumatology, Affiliated Hospital of Jiangxi University of Chinese Medicine, Nanchang, Jiangxi, China.
J Shoulder Elbow Surg. 2025 May 9. doi: 10.1016/j.jse.2025.03.037.
Shoulder dislocation is a common joint dislocation, accounting for nearly half of all such cases. This article comprehensively analyzes the Global Burden of Disease 2021 data on shoulder dislocation, focusing on global incidence, prevalence, and years lived with disability (YLDs).
We evaluated the trends in the incidence, prevalence, and YLDs of shoulder dislocation globally, regionally, and nationally from 1990 to 2021. Joinpoint regression analysis models calculated the Annual Average Percentage Change. In 2021, we also analyzed the disease burden trends of shoulder dislocation among different age groups of males and females globally. Additionally, we conducted a decomposition analysis of incidence impact trends in global and Socio-Demographic Index quintile regions.
In 2021, there were 55.57 (95% uncertainty interval [UI], 42.27-75.27) incident cases of shoulder dislocation per 100,000 population globally, equivalent to an age-standardized incidence rate of 69.96 (95% UI, 53.23-94.34) per 100,000 population. The global prevalent cases of shoulder dislocation was 8.23 (95% UI, 2.01-14.85) per 100,000 population, corresponding to an age-standardized prevalence rate of 10.35 (95% UI, 2.51-18.77) per 100,000 population. The rate of YLDs due to shoulder dislocation was 0.51 (95% UI, 0.11-1.05) per 100,000 population, with an age-standardized years lived with disability rate of 0.64 (95% UI, 0.14-1.31) per 100,000 population. From 1990 to 2021, we observed a downward trend in the global disease burden of shoulder dislocation incidence (Annual Average Percentage Change, -0.82%, 95% confidence interval, -1.12% to 0.51%), with comparable trends for prevalence and YLDs rate. The trend of disease burden fluctuates with age, peaking at 20-24 years in males and 10-14 years in females. In the decomposition analysis, epidemiological changes negatively impacted the incidence of shoulder dislocation, while demographic factors had a positive impact. Aging trends had different effects across regions.
From 1990 to 2021, most regions experienced a decline in the disease burden of shoulder dislocation, although some regions saw an increase. Preventive strategies should prioritize high-risk groups such as elderly women, athletes, and military personnel. Future health policies and prevention measures should consider the interplay between epidemiological changes and demographic factors in shaping the disease burden.
肩关节脱位是一种常见的关节脱位，占所有此类病例的近一半。本文全面分析了《2021年全球疾病负担》中关于肩关节脱位的数据，重点关注全球发病率、患病率和伤残调整生命年（YLDs）。
我们评估了1990年至2021年全球、区域和国家层面肩关节脱位的发病率、患病率和YLDs趋势。Joinpoint回归分析模型计算了年均变化百分比。2021年，我们还分析了全球不同年龄组男性和女性肩关节脱位的疾病负担趋势。此外，我们对全球和社会人口指数五分位数区域的发病率影响趋势进行了分解分析。
2021年，全球每10万人中有55.57例（95%不确定区间[UI]，42.27 - 75.27）肩关节脱位发病病例，相当于每10万人的年龄标准化发病率为69.96（95% UI，53.23 - 94.34）。全球肩关节脱位的患病病例为每10万人8.23例（95% UI，2.01 - 14.85），对应每10万人的年龄标准化患病率为10.35（95% UI，2.51 - 18.77）。肩关节脱位导致的YLDs率为每10万人0.51例（95% UI，0.11 - 1.05），每10万人的年龄标准化伤残调整生命年率为0.64（95% UI，0.14 - 1.31）。从1990年到2021年，我们观察到全球肩关节脱位发病率的疾病负担呈下降趋势（年均变化百分比，-0.82%，95%置信区间，-1.12%至0.51%），患病率和YLDs率也有类似趋势。疾病负担趋势随年龄波动，男性在20 - 24岁达到峰值，女性在10 - 14岁达到峰值。在分解分析中，流行病学变化对肩关节脱位的发病率有负面影响，而人口因素有正面影响。老龄化趋势在不同地区有不同影响。
从1990年到2021年，大多数地区肩关节脱位的疾病负担有所下降，尽管有些地区有所上升。预防策略应优先考虑老年女性、运动员和军事人员等高风险群体。未来的卫生政策和预防措施应考虑流行病学变化和人口因素在塑造疾病负担方面的相互作用。
