Osteoporosis International

, Volume 25, Issue 9, pp 2297–2306 | Cite as

Epidemiology of distal forearm fractures in Austria between 1989 and 2010

  • H. P. DimaiEmail author
  • A. Svedbom
  • A. Fahrleitner-Pammer
  • H. Resch
  • C. Muschitz
  • H. Thaler
  • M. Szivak
  • K. Amrein
  • F. Borgström
Original Article



Only few studies have been published hitherto on country-specific incidence of distal forearm fracture. In the prevailing study, incidences were estimated, and trend analyses were performed for the entire Austrian population aged ≥50á. Incidence decreased significantly in women, but not in men, over the past 12 years of observation.


To estimate incidence of distal forearm fracture and assess incidence trends in the entire Austrian population aged ≥50á from 1989–2010 for inpatient fractures and from 1999 to 2010 for all fractures.


The number of inpatient forearm fractures was obtained from the Austrian Hospital Discharge Register (AHDR) for the entire population aged ≥50á from 1989 to 2010. Total number of distal forearm fractures was modeled using patient-level data on 36,327 patients with distal forearm fractures. Crude and age-standardized incidence rates (cases per 100,000) were estimated in 5-year age intervals. To analyze the change in incidence over time, average annual changes expressed as incidence rate ratios (IRR) were calculated.


For all distal forearm fractures, age-standardized incidence in women in 1999 and 2009 were estimated at 709 (95 % CI 675–743) and 607 (578–637), respectively. The age-standardized incidences in men the same years were estimated at 171 (156–185) and 162 (151–174), respectively. IRR analyses showed a significant decrease in women (−1.1 %, p < 0.01) but not in men (−0.8 %, p > 0.05) over the last 12 years (1999–2010).


Incidence of distal forearm fracture in the entire Austrian population is comparable to hip fracture incidence which is known to be among the highest worldwide. However, trend analyses reveal a significant decrease for all distal forearm fractures in women, but not in men, over the last 12 years.


Age-adjusted incidence Crude incidence Forearm fracture Osteoporosis Trend analyses 



The study was funded by a Medical Research Fund of the Medical University of Graz. We would like to thank Mrs. Dr. Erika Baldaszti and Mrs. Mag. Barbara Leitner from Statistics Austria for providing us with the data from the Austrian Hospital Discharge Register.

Conflicts of interest



  1. 1.
    No authors listed (1991) Consensus development conference: prophylaxis and treatment of osteoporosis. Am J Med 90:107–10Google Scholar
  2. 2.
    Miller SW, Evans JG (1985) Fractures of the distal forearm in Newcastle: an epidemiological survey. Age Ageing 14:155–8PubMedCrossRefGoogle Scholar
  3. 3.
    Owen RA, Melton LJ 3rd, Johnson KA, Ilstrup DM, Riggs BL (1982) Incidence of Colles’ fracture in a North American community. Am J Public Health 72:605–7PubMedCentralPubMedCrossRefGoogle Scholar
  4. 4.
    Johnell O, Kanis J (2005) Epidemiology of osteoporotic fractures. Osteoporos Int 16(Suppl 2):S3–7PubMedCrossRefGoogle Scholar
  5. 5.
    Johnell O, Kanis JA (2006) An estimate of the worldwide prevalence and disability associated with osteoporotic fractures. Osteoporos Int 17:1726–33PubMedCrossRefGoogle Scholar
  6. 6.
    Johnell O, Kanis JA, Oden A, Sernbo I, Redlund-Johnell I, Petterson C, De Laet C, Jonsson B (2004) Mortality after osteoporotic fractures. Osteoporos Int 15:38–42PubMedCrossRefGoogle Scholar
  7. 7.
    Klotzbuecher CM, Ross PD, Landsman PB, Abbott TA 3rd, Berger M (2000) Patients with prior fractures have an increased risk of future fractures: a summary of the literature and statistical synthesis. J Bone Miner Res 15:721–39PubMedCrossRefGoogle Scholar
  8. 8.
    Borgstrom F, Lekander I, Ivergard M, Strom O, Svedbom A, Alekna V, Bianchi ML, Clark P, Curiel MD, Dimai HP, Jurisson M, Kallikorm R, Lesnyak O, McCloskey E, Nassonov E, Sanders KM, Silverman S, Tamulaitiene M, Thomas T, Tosteson AN, Jonsson B, Kanis JA (2013) The International Costs and Utilities Related to Osteoporotic Fractures Study (ICUROS)—quality of life during the first 4 months after fracture. Osteoporos Int 24:811–23PubMedCrossRefGoogle Scholar
  9. 9.
    Hajcsar EE, Hawker G, Bogoch ER (2000) Investigation and treatment of osteoporosis in patients with fragility fractures. CMAJ 163:819–22PubMedCentralPubMedGoogle Scholar
  10. 10.
    Boufous S, Finch C, Lord S, Close J, Gothelf T, Walsh W (2006) The epidemiology of hospitalised wrist fractures in older people, New South Wales, Australia. Bone 39:1144–8PubMedCrossRefGoogle Scholar
  11. 11.
    Melton LJ 3rd, Amadio PC, Crowson CS, O'Fallon WM (1998) Long-term trends in the incidence of distal forearm fractures. Osteoporos Int 8:341–8PubMedCrossRefGoogle Scholar
  12. 12.
    Lauritzen JB, Schwarz P, Lund B, McNair P, Transbol I (1993) Changing incidence and residual lifetime risk of common osteoporosis-related fractures. Osteoporos Int 3:127–32PubMedCrossRefGoogle Scholar
  13. 13.
    Oskam J, Kingma J, Klasen HJ (1998) Fracture of the distal forearm: epidemiological developments in the period 1971–1995. Injury 29:353–5PubMedCrossRefGoogle Scholar
  14. 14.
    Jonsson B, Bengner U, Redlund-Johnell I, Johnell O (1999) Forearm fractures in Malmo, Sweden. Changes in the incidence occurring during the 1950s, 1980s and 1990s. Acta Orthop Scand 70:129–32PubMedCrossRefGoogle Scholar
  15. 15.
    O'Neill TW, Cooper C, Finn JD, Lunt M, Purdie D, Reid DM, Rowe R, Woolf AD, Wallace WA, UK Colles' Fracture Study Group (2001) Osteoporos Int 12:555–8PubMedCrossRefGoogle Scholar
  16. 16.
    Thompson PW, Taylor J, Dawson A (2004) The annual incidence and seasonal variation of fractures of the distal radius in men and women over 25 years in Dorset, UK. Injury 35:462–6PubMedCrossRefGoogle Scholar
  17. 17.
    Lofthus CM, Frihagen F, Meyer HE, Nordsletten L, Melhuus K, Falch JA (2008) Epidemiology of distal forearm fractures in Oslo, Norway. Osteoporos Int 19:781–6PubMedCrossRefGoogle Scholar
  18. 18.
    Siggeirsdottir K, Aspelund T, Jonsson BY, Mogensen B, Gudmundsson EF, Gudnason V, Sigurdsson G (2014) Epidemiology of fractures in Iceland and secular trends in major osteoporotic fractures 1989–2008. Osteoporos Int 25:211–9PubMedCrossRefGoogle Scholar
  19. 19.
    Huber-Bachmann E, Schönauer A, Schöberl C (2013) Austria. Data. Figures. Facts. Statistics Austria, Federal Institution under Public Law, ViennaGoogle Scholar
  20. 20.
    Dimai HP, Svedbom A, Fahrleitner-Pammer A, Pieber T, Resch H, Zwettler E, Chandran M, Borgstrom F (2011) Epidemiology of hip fractures in Austria: evidence for a change in the secular trend. Osteoporos Int 22:685–92PubMedCrossRefGoogle Scholar
  21. 21.
    Dimai HP, Svedbom A, Fahrleitner-Pammer A, Pieber T, Resch H, Zwettler E, Thaler H, Szivak M, Amrein K, Borgstrom F (2013) Epidemiology of proximal humeral fractures in Austria between 1989 and 2008. Osteoporos IntGoogle Scholar
  22. 22.
    Dimai HP, Redlich K, Peretz M, Borgstrom F, Siebert U, Mahlich J (2012) Economic burden of osteoporotic fractures in Austria. Health Econ Rev 2:12,1991-2-12Google Scholar
  23. 23.
    No authors listed (2007) Statistics Austria, Federal Institution under Public Law: Federal Act on Federal Statistics (Federal Statistics Act 2000) no.163/1999, as amended by BGBL. I, no. 136/2001, by BGBl. I, no.71/2003 and by BGBl. I, no. 92/2007. ViennaGoogle Scholar
  24. 24.
    Wigg AE, Hearn TC, McCaul KA, Anderton SM, Wells VM, Krishnan J (2003) Number, incidence, and projections of distal forearm fractures admitted to hospital in Australia. J Trauma 55:87–93PubMedCrossRefGoogle Scholar
  25. 25.
    Cooper C, Cole ZA, Holroyd CR, Earl SC, Harvey NC, Dennison EM, Melton LJ, Cummings SR, Kanis JA, IOF CSA Working Group on Fracture Epidemiology (2011) Secular trends in the incidence of hip and other osteoporotic fractures. Osteoporos Int 22:1277–88PubMedCentralPubMedCrossRefGoogle Scholar
  26. 26.
    Kanis JA, Johnell O, Oden A, Johansson H, De Laet C, Eisman JA, Fujiwara S, Kroger H, McCloskey EV, Mellstrom D, Melton LJ, Pols H, Reeve J, Silman A, Tenenhouse A (2005) Smoking and fracture risk: a meta-analysis. Osteoporos Int 16:155–62PubMedCrossRefGoogle Scholar
  27. 27.
    De Laet C, Kanis JA, Oden A, Johanson H, Johnell O, Delmas P, Eisman JA, Kroger H, Fujiwara S, Garnero P, McCloskey EV, Mellstrom D, Melton LJ 3rd, Meunier PJ, Pols HA, Reeve J, Silman A, Tenenhouse A (2005) Body mass index as a predictor of fracture risk: a meta-analysis. Osteoporos Int 16:1330–8PubMedCrossRefGoogle Scholar
  28. 28.
    Hung WW, Ross JS, Boockvar KS, Siu AL (2011) Recent trends in chronic disease, impairment and disability among older adults in the United States. BMC Geriatr 11:47PubMedCentralPubMedCrossRefGoogle Scholar

Copyright information

© International Osteoporosis Foundation and National Osteoporosis Foundation 2014

Authors and Affiliations

  • H. P. Dimai
    • 1
    Email author
  • A. Svedbom
    • 4
  • A. Fahrleitner-Pammer
    • 1
  • H. Resch
    • 2
  • C. Muschitz
    • 2
  • H. Thaler
    • 3
  • M. Szivak
    • 5
  • K. Amrein
    • 1
  • F. Borgström
    • 6
  1. 1.Department of Internal Medicine, Division of Endocrinology and MetabolismMedical University of GrazGrazAustria
  2. 2.St. Vincent Hospital, Medical Department IIViennaAustria
  3. 3.Trauma Center MeidlingViennaAustria
  4. 4.Optum InsightStockholmSweden
  5. 5.Austrian Trauma Insurance Agency (AUVA)ViennaAustria
  6. 6.Quantify ResearchStockholmSweden

Personalised recommendations