THE EPIDEMIOLOGY OF FRACTURES OF THE PROXIMAL HUMERUS
THE EPIDEMIOLOGY OF FRACTURES OF THE PROXIMAL HUMERUS
复制标题
DOI：
10.1007/bf00932316
复制
发表时间：
1989-01-01
影响因子：
2.3
通讯作者：
JENSEN, J
中科院分区：
文献类型：
--
作者：
LIND, T;KRONER, K;JENSEN, J
730例来自5年的肱骨近端骨折被纳入本研究。我们发现总发病率比以前看到的更高：每10万人中有73人。29%的患者需要住院治疗；其中75%的患者年龄在60岁以上。其中只有21%的人接受了手术，大多数入院患者是出于社会原因。在奥胡斯市地区(25万居民)，每年总共使用583个床位日。大多数骨折是由平地跌倒造成的。老年人在家中摔倒，年轻人在公共场所摔倒。交通事故和工伤事故较少发生。事故通常发生在中午和午夜之前，主要发生在12月和1月。其中一半为外科颈二部分骨折，大结节骨折和三部分骨折分别占21%和17%。根据目前人口平均寿命的发展，可以预见，近端骨折将在未来显著增加医院的工作量。
Seven hundred and thirty proximal humeral fractures, taken from a 5-year period, were entered in this study. We found a higher total incidence rate than that previously seen: 73/100,000 population. Twenty-nine percent of the patients required hospitalization; 75% of these were over 60 years old. Only 21% of these were operated on, the majority of admissions being for social reasons. A total of 583 bed-days were used each year in the Aarhus City area (250,000 inhabitants). The majority of fractures resulted from falls on level ground. The elderly fell at home, while the younger people fell in public areas. Traffic accidents and work accidents were seldom seen. The accidents occurred typically around midday and before midnight, and mostly in December and January. Half of the fractures were two-part fractures of the surgical neck, while fractures of the greater tubercle and three-part fractures accounted for 21% and 17%, respectively. Based on current developments in the population average life span, it can be expected that proximal fractures will increase the hospital workload significantly in the future.