Epidemiology of distal radius fracture in Akershus, Norway, in 2010-2011

Håkon With Solvang, Robin Andre Nordheggen, Ståle Clementsen, Ola-Lars Hammer, Per-Henrik Randsborg, Håkon With Solvang, Robin Andre Nordheggen, Ståle Clementsen, Ola-Lars Hammer, Per-Henrik Randsborg

Abstract

Background: Several studies published over the last decade indicate an increased incidence of distal radius fractures (DRF). With Norway having one of the highest reported incidence of DRFs, we conducted a study to assess the epidemiology of DRFs and its treatment in the catchment area of Akershus University Hospital (AHUS).

Methods: Patients 16 years or older who presented to AHUS with an acute DRF during the years 2010 and 2011 were prospectively recorded and classified according to the AO fracture classification system. The mechanism of injury and treatment modality were noted.

Results: Overall, 1565 patients with an acute DRF presented to the institution in 2010-2011, of which 1134 (72%) were women. The overall annual incidence was 19.7 per 10,000 inhabitants 16 years or older. Women had an exponential increase in incidence after the age of 50, though the incidence for both genders peaked after the age of 80 years. There was an even distribution between extra- and intra-articular fractures. Falling while walking outside was the most common mechanism of injury. Of the 1565 registered, 418 (26.7%) patients underwent surgery, with a volar locking plate being the preferred surgical option in 77% of the cases.

Conclusion: The overall incidence of distal radius fractures was lower in our study than earlier reports from Norway. Postmenopausal women had a higher risk of fracture than the other groups, and low-energy injuries were most dominant. 26.7% were treated operatively, which is higher than earlier reports, and might reflect an increasing preference for surgical treatment.

Keywords: AO classification; Distal radius fracture; Epidemiology; Volar locking plate.

Conflict of interest statement

The study was conducted according to the Declaration of Helsinki and approved by the Regional Ethics Committee of Eastern Norway (ref. 2009/1517) and the local data protection officer. The participants consented to participate.

Not applicable.

The authors declare that they have no competing interests.

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Figures

Fig. 1
Fig. 1
Annual incidence of distal radius fractures per 10,000 persons, 16 years or older
Fig. 2
Fig. 2
Different treatment methods of distal radius fracture by AO classification
Fig. 3
Fig. 3
Annual incidence of distal radius fracture among women and men
Fig. 4
Fig. 4
Annual incidence of distal radius fracture among women and men over the age of 50

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Source: PubMed

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