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01-08-2014 | Original Paper

Trends in epidemiology and patho-anatomical pattern of proximal humeral fractures

Authors: Christian Bahrs, Stojicevic Tanja, Blumenstock Gunnar, Brorson Stig, Andreas Badke, Stöckle Ulrich, Rolauffs Bernd, Freude Thomas

Published in: International Orthopaedics | Issue 8/2014

Abstract

Purpose

Proximal humeral fractures are common and frequently associated with osteoporosis. Little is known about the association between the patho-anatomical fracture pattern of proximal humeral fractures and patient characteristics. The purpose of this six year longitudinal registry analysis of proximal humeral fractures was to study overall numbers, certain predefined pathoanatomical patterns and distribution compared with specific patient characteristics.

Methods

Data of patients treated between 2006 and 2011 in a country hospital that provides care >95 % of the city’s hospitalised patients with fractures was retrospectively reviewed. Data were analysed according to patient characteristics of age, gender, comorbidity, accompanying injuries and radiological analysis of pathoanatomical fracture patterns based on Neer and Arbeitsgemeinschaft für Osteosynthesefragen (AO) classification.

Results

Eight hundred and fifteen proximal humeral fractures (67 % women/33 % men; mean age 66 years, range 19–99) were analysed. During the study period, an overall increase of 42.5 % was found: according to AO classification, 46 % were type A, 22 % type B and 32 % type C. Based on the Neer classification, 86 % were displaced, and 49 % were complex with more than three parts. Of complex fractures, 57 % were female patients >60 years. The number of complex fractures was five times higher in women >60 years than in men of the same age group.

Conclusions

An overall increase of inpatients with displaced proximal tibial fractures was documented. Interestingly, complex displaced proximal humeral fractures, especially in older women with comorbidities, accounted for the majority of cases. These results suggest that health-care planning and hospital-based therapeutic strategies should focus on this patient group.

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Title: Trends in epidemiology and patho-anatomical pattern of proximal humeral fractures
Authors: Christian Bahrs
Stojicevic Tanja
Blumenstock Gunnar
Brorson Stig
Andreas Badke
Stöckle Ulrich
Rolauffs Bernd
Freude Thomas
Publication date: 01-08-2014
Publisher: Springer Berlin Heidelberg
Published in: International Orthopaedics / Issue 8/2014
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-014-2362-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Trends in epidemiology and patho-anatomical pattern of proximal humeral fractures

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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