$Fracture profiles of a 4-year cohort of 266,324 first incident upper extremity fractures from population health data in Ontario$
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Fracture profiles of a 4-year cohort of 266,324 first incident upper extremity fractures from population health data in Ontario

Abstract Background Understanding the profiles of different upper extremity fractures, particularly those presenting as a 1st incident can inform prevention and management strategies. The purpose of this population-level study was to describe first incident fractures of the upper extremity in terms...

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Autores principales:	Joy C. MacDermid, J. Andrew McClure, Lucie Richard, Kenneth J. Faber, Susan Jaglal
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Fractures Epidemiology Upper extremity Distal radius Proximal humerus Social deprivation Diseases of the musculoskeletal system RC925-935
Acceso en línea:	https://doaj.org/article/d3c3c645c99445218e0c72c00e6c9f6e
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spelling	oai:doaj.org-article:d3c3c645c99445218e0c72c00e6c9f6e2021-12-05T12:18:16ZFracture profiles of a 4-year cohort of 266,324 first incident upper extremity fractures from population health data in Ontario10.1186/s12891-021-04849-71471-2474https://doaj.org/article/d3c3c645c99445218e0c72c00e6c9f6e2021-11-01T00:00:00Zhttps://doi.org/10.1186/s12891-021-04849-7https://doaj.org/toc/1471-2474Abstract Background Understanding the profiles of different upper extremity fractures, particularly those presenting as a 1st incident can inform prevention and management strategies. The purpose of this population-level study was to describe first incident fractures of the upper extremity in terms of fracture characteristics and demographics. Methods Cases with a first adult upper extremity (UE) fracture from the years 2013 to 2017 were extracted from administrative data in Ontario. Fracture locations (ICD-10 codes) and associated characteristics (open/closed, associated hospitalization within 1-day, associated nerve, or tendon injury) were described by fracture type, age category and sex. Standardized mean differences of at least 10% (clinical significance) and statistical significance (p < 0.01) in ANOVA were used to identify group differences (age/sex). Results We identified 266,324 first incident UE fractures occurring over 4 years. The most commonly affected regions were the hand (93 K), wrist/forearm(80 K), shoulder (48 K) or elbow (35 K). The highest number of specific fractures were: distal radius (DRF, 47.4 K), metacarpal (30.4 K), phalangeal (29.9 K), distal phalangeal (24.4 K), proximal humerus (PHF, 21.7 K), clavicle (15.1 K), radial head (13.9 K), and scaphoid fractures (13.2 K). The most prevalent multiple fractures included: multiple radius and ulna fractures (11.8 K), fractures occurring in multiple regions of the upper extremity (8.7 K), or multiple regions in the forearm (8.4 K). Tendon (0.6% overall; 8.2% in multiple finger fractures) or nerve injuries were rarely reported (0.3% overall, 1.5% in distal humerus). Fractures were reported as being open in 4.7% of cases, most commonly for distal phalanx (23%). A similar proportion of females (51.5%) and males were present in this fracture cohort, but there were highly variant age-sex profiles across fracture subtypes. Fractures most common in 18–40-year-old males included metacarpal and finger fractures. Fractures common in older females were: DRF, PHF and radial head, which exhibited a dramatic increase in the over-50 age group. Conclusions UE fracture profiles vary widely by fracture type. Fracture specific prevention and management should consider fracture profiles that are highly variable according to age and sex.Joy C. MacDermidJ. Andrew McClureLucie RichardKenneth J. FaberSusan JaglalBMCarticleFracturesEpidemiologyUpper extremityDistal radiusProximal humerusSocial deprivationDiseases of the musculoskeletal systemRC925-935ENBMC Musculoskeletal Disorders, Vol 22, Iss 1, Pp 1-16 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Fractures Epidemiology Upper extremity Distal radius Proximal humerus Social deprivation Diseases of the musculoskeletal system RC925-935
spellingShingle	Fractures Epidemiology Upper extremity Distal radius Proximal humerus Social deprivation Diseases of the musculoskeletal system RC925-935 Joy C. MacDermid J. Andrew McClure Lucie Richard Kenneth J. Faber Susan Jaglal Fracture profiles of a 4-year cohort of 266,324 first incident upper extremity fractures from population health data in Ontario
description	Abstract Background Understanding the profiles of different upper extremity fractures, particularly those presenting as a 1st incident can inform prevention and management strategies. The purpose of this population-level study was to describe first incident fractures of the upper extremity in terms of fracture characteristics and demographics. Methods Cases with a first adult upper extremity (UE) fracture from the years 2013 to 2017 were extracted from administrative data in Ontario. Fracture locations (ICD-10 codes) and associated characteristics (open/closed, associated hospitalization within 1-day, associated nerve, or tendon injury) were described by fracture type, age category and sex. Standardized mean differences of at least 10% (clinical significance) and statistical significance (p < 0.01) in ANOVA were used to identify group differences (age/sex). Results We identified 266,324 first incident UE fractures occurring over 4 years. The most commonly affected regions were the hand (93 K), wrist/forearm(80 K), shoulder (48 K) or elbow (35 K). The highest number of specific fractures were: distal radius (DRF, 47.4 K), metacarpal (30.4 K), phalangeal (29.9 K), distal phalangeal (24.4 K), proximal humerus (PHF, 21.7 K), clavicle (15.1 K), radial head (13.9 K), and scaphoid fractures (13.2 K). The most prevalent multiple fractures included: multiple radius and ulna fractures (11.8 K), fractures occurring in multiple regions of the upper extremity (8.7 K), or multiple regions in the forearm (8.4 K). Tendon (0.6% overall; 8.2% in multiple finger fractures) or nerve injuries were rarely reported (0.3% overall, 1.5% in distal humerus). Fractures were reported as being open in 4.7% of cases, most commonly for distal phalanx (23%). A similar proportion of females (51.5%) and males were present in this fracture cohort, but there were highly variant age-sex profiles across fracture subtypes. Fractures most common in 18–40-year-old males included metacarpal and finger fractures. Fractures common in older females were: DRF, PHF and radial head, which exhibited a dramatic increase in the over-50 age group. Conclusions UE fracture profiles vary widely by fracture type. Fracture specific prevention and management should consider fracture profiles that are highly variable according to age and sex.
format	article
author	Joy C. MacDermid J. Andrew McClure Lucie Richard Kenneth J. Faber Susan Jaglal
author_facet	Joy C. MacDermid J. Andrew McClure Lucie Richard Kenneth J. Faber Susan Jaglal
author_sort	Joy C. MacDermid
title	Fracture profiles of a 4-year cohort of 266,324 first incident upper extremity fractures from population health data in Ontario
title_short	Fracture profiles of a 4-year cohort of 266,324 first incident upper extremity fractures from population health data in Ontario
title_full	Fracture profiles of a 4-year cohort of 266,324 first incident upper extremity fractures from population health data in Ontario
title_fullStr	Fracture profiles of a 4-year cohort of 266,324 first incident upper extremity fractures from population health data in Ontario
title_full_unstemmed	Fracture profiles of a 4-year cohort of 266,324 first incident upper extremity fractures from population health data in Ontario
title_sort	fracture profiles of a 4-year cohort of 266,324 first incident upper extremity fractures from population health data in ontario
publisher	BMC
publishDate	2021
url	https://doaj.org/article/d3c3c645c99445218e0c72c00e6c9f6e
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Fracture profiles of a 4-year cohort of 266,324 first incident upper extremity fractures from population health data in Ontario

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