Nordqvist A, Petersson C J
Department of Orthopaedics, Malmö General Hospital, Lund University, Sweden.
J Shoulder Elbow Surg. 1995 Mar-Apr;4(2):107-12. doi: 10.1016/s1058-2746(05)80063-1.
In a prospective population-based study of all shoulder injuries seen at Malmö General Hospital during 1987, the incidence and causes of major injuries involving fractures of the clavicle, scapula, or proximal humerus and glenohumeral or acromioclavicular dislocations were investigated in children, adults, and the elderly. Seventy-five shoulder injuries occurred in children. Sixty-five of them were fractures of the clavicle. In this age group no sex-related differences were seen in incidence, and 37 of 73 injuries were related to sports or playing. One hundred eighty-one injuries occurred in adults. Sixty fractures of the proximal humerus, 67 fractures of the clavicle, and 31 primary glenohumeral dislocations were seen. The injuries in this group were significantly more frequent in men, with most of them caused by traffic and sport injuries. Two hundred forty-eight injuries occurred in elderly people. Two hundred one were fractures of the proximal humerus. The incidence was significantly higher in women; 147 of 247 injuries were caused by an indoor fall. The variations among age groups are probably attributable to age-related differences in activity, mobility, and fragility.
在一项对1987年马尔默综合医院收治的所有肩部损伤进行的基于人群的前瞻性研究中，对儿童、成年人和老年人中涉及锁骨、肩胛骨或肱骨近端骨折以及盂肱关节或肩锁关节脱位的严重损伤的发生率和病因进行了调查。儿童发生了75例肩部损伤。其中65例为锁骨骨折。在这个年龄组中，发病率未见性别差异，73例损伤中有37例与运动或玩耍有关。成年人发生了181例损伤。可见60例肱骨近端骨折、67例锁骨骨折和31例原发性盂肱关节脱位。该组损伤在男性中明显更常见，大多数由交通和运动损伤引起。老年人发生了248例损伤。201例为肱骨近端骨折。女性的发病率明显更高；247例损伤中有147例由室内跌倒引起。年龄组之间的差异可能归因于活动、 mobility和脆弱性方面的年龄相关差异。 （注：原文中“mobility”未翻译，可能是拼写有误，结合语境推测此处可能是“灵活性”之类的意思）
