Chen Cheng, Zhang ShuTao, Li ZhenDong, Zhou HaiChao, Xia Jiang, Li Bing, Yang YunFeng
Department of Orthopedics, Tongji Hospital, School of Medicine, Tongji University, Shanghai, China.
Department of Orthopedics, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Front Public Health. 2025 Jul 25;13:1638277. doi: 10.3389/fpubh.2025.1638277. eCollection 2025.
To comprehensively examine the regional, national, and global burden and trends of forearm fractures from 1990 to 2021.
The incidence and years lived with disability (YLDs), with uncertainty interval (UI), for forearm fractures from 1990 to 2021 were extracted from the Global Burden of Disease 2021. The temporal, geographical, and demographic burden of forearm fractures was assessed, as well as the leading causes. Finally, a decomposition analysis was performed.
In 1990, the incidence number of forearm fractures globally was 26,098,810 (95% UI: 20,967,988-32,372,267), which increased to 31,905,396 (95% UI: 25,403,829-39,982,115) in 2021. The age-standardized incidence rate was 483.28 (95% UI: 387.42-599.37) in 1990 and decreased to 402.35 (95% UI: 319.86-505.21) in 2021. In 1990, the global number of YLDs due to forearm fractures was 144,166 (95% UI: 87,129-229,017), which increased to 205,031 (95% UI: 126,061-320,235) in 2021. The age-standardized YLDs rate was 2.98 (95% UI: 1.82-4.7) in 1990, which decreased to 2.51 (95% UI: 1.54-3.93) in 2021. Females showed a higher burden than males, and the incidence rate of forearm fractures exhibited a bimodal distribution, peaking in youth and older adulthood. Recently, the disease burden presented a challenge due to the aging population. Falls were the most prominent cause of forearm fractures, followed by road injuries and exposure to mechanical forces.
Forearm fractures have increased in incidence and YLDs number since 1990, particularly among females. The incidence rate follows a bimodal distribution, with peaks in youth and older adulthood. The age-related burden has progressively shifted toward older populations, reflecting trends in global aging. Falls remain the leading cause of forearm fractures, with the highest burden observed among older adult females.
全面研究1990年至2021年期间前臂骨折的地区、国家和全球负担及趋势。
从《2021年全球疾病负担》中提取1990年至2021年前臂骨折的发病率和伤残调整生命年（YLDs）及其不确定性区间（UI）。评估了前臂骨折的时间、地理和人口负担以及主要原因。最后进行了分解分析。
1990年，全球前臂骨折的发病数为26,098,810例（95%UI：20,967,988 - 32,372,267例），2021年增至31,905,396例（95%UI：25,403,829 - 39,982,115例）。1990年年龄标准化发病率为483.28（95%UI：387.42 - 599.37），2021年降至402.35（95%UI：319.86 - 505.21）。1990年，全球因前臂骨折导致的YLDs数为144,166例（95%UI：87,129 - 229,017例），2021年增至205,031例（95%UI：126,061 - 320,235例）。1990年年龄标准化YLDs率为2.98（95%UI：1.82 - 4.7），2021年降至2.51（95%UI：1.54 - 3.93）。女性的负担高于男性，前臂骨折的发病率呈双峰分布，在青年和老年期达到峰值。近年来，由于人口老龄化，疾病负担面临挑战。跌倒前臂骨折最主要的原因，其次是道路伤害和暴露于机械力。
自1990年以来，前臂骨折的发病率和YLDs数有所增加，尤其是在女性中。发病率呈双峰分布，在青年和老年期达到峰值。与年龄相关的负担已逐渐向老年人群转移，反映了全球老龄化趋势。跌倒仍然是前臂骨折的主要原因，在老年女性中负担最高。
