Nordqvist A, Petersson C J
Department of Orthopedics, Malmö University Hospital, Sweden.
Acta Orthop Scand. 1996 Aug;67(4):364-6. doi: 10.3109/17453679609002332.
We recorded prospectively all adult patients with a fracture of the proximal end of the humerus, clavicle and scapula or a primary shoulder or acromioclavicular dislocation in the city of Malmö in 1987. Altogether there were 413 injures. The hospital records from the Department of Alcohol Diseases were searched for these patients and for 2 age- and gender-matched controls for each patient. 12% of all patients with a shoulder injury were recorded as alcohol abusers. This number was significantly greater than that of the controls. The difference was more obvious in men than in women. In men between 30 and 64 years, almost half of the proximal humerus fractures and shoulder dislocations, one third of mid-clavicular fractures and two thirds of all lateral clavicle fractures were sustained by alcohol abusers. Our findings emphasize the significance of alcohol abuse in the etiology of shoulder injuries, especially in men. Most of the men with a fracture of the lateral clavicle are registered at the Department of Alcohol Diseases, making this injury a marker of alcohol abuse.
1987年，我们前瞻性地记录了马尔默市所有肱骨近端、锁骨和肩胛骨骨折或原发性肩关节或肩锁关节脱位的成年患者。总共有413例损伤。我们查阅了酒精疾病科的医院记录，以查找这些患者以及为每位患者匹配的2名年龄和性别相同的对照。所有肩部受伤患者中有12%被记录为酗酒者。这个数字明显高于对照组。这种差异在男性中比在女性中更明显。在30至64岁的男性中，几乎一半的肱骨近端骨折和肩关节脱位、三分之一的锁骨中段骨折以及三分之二的所有锁骨外侧骨折是由酗酒者造成的。我们的研究结果强调了酗酒在肩部损伤病因中的重要性，尤其是在男性中。大多数锁骨外侧骨折的男性在酒精疾病科登记，使这种损伤成为酗酒的一个标志。
