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Published on: March 11, 2017
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Proximal humeral fractures in Sweden-a registry-based study
B O Sumrein1, T T Huttunen2,3, A P Launonen4
1Division of Orthopedics and Traumatology, Department of Trauma, Musculoskeletal Surgery and Rehabilitation, Tampere University Hospital, Tampere, Finland. dr.bakir.sumrein@gmail.com.
Summary
The incidence of proximal humeral fractures in Sweden has increased significantly for both men and women between 2001 and 2012. Surgical treatment rates also rose, with open reduction and internal fixation being the most common procedure.
Area of Science:
- Orthopedics
- Epidemiology
- Geriatric Medicine
Background:
- Proximal humeral fractures are a common osteoporotic fracture.
- Existing epidemiologic data often lack comprehensive inpatient and outpatient inclusion.
Purpose of the Study:
- To determine the national incidence rates and treatment trends of proximal humeral fractures in Sweden.
- To provide population-based data including both inpatient and outpatient visits.
Main Methods:
- Utilized the Swedish Hospital Discharge Register from 2001 to 2012.
- Included all adult patients (≥18 years) with proximal humeral fractures.
- Analyzed incidence and surgical treatment trends over the study period.
Main Results:
- Identified 98,770 proximal humeral fractures.
- Incidence increased by 30% in women and 39% in men from 2001 to 2012.
- Surgical treatment rates rose, with open reduction and internal fixation being the most frequent procedure.
Conclusions:
- Swedish national incidence of proximal humeral fractures is increasing.
- Surgical treatment rates have substantially increased, especially for open reduction and internal fixation.
- This study provides the first nationwide epidemiologic data for Sweden, including all patient visits.
