Skip to main content

Advertisement

SpringerLink
Log in

Incidence and characteristics of distal radial fractures in an urban population in The Netherlands

  • Original Article
  • Published:
European Journal of Trauma and Emergency Surgery Aims and scope Submit manuscript

Abstract

The increasing incidence of distal radius fracture is thought to be due to the aging population. Surprisingly, some authors have reported a decrease in the incidence of distal radius fracture. Moreover, the type-specific incidence of distal radial fracture classified according to fracture severity is not well documented. The aim of this population-based study was to estimate the overall and type-specific incidences of distal radius fracture in a urban population in The Netherlands. During 2009, all persons aged ≥18 years old with an acute distal radius fracture in two hospitals in The Netherlands were prospectively registered. In 2009, the mid-year study population consisted of 245,559 inhabitants ≥18 years old. Fractures were categorized according to the AO classification. 494 patients with acute distal radius fractures were registered in the two participating hospitals during the 1-year study period. The overall incidence of distal radius fracture was 20 per 10,000 person-years. Among women, the incidence rate increased from the age of 50 and reached a peak of 124 per 10,000 person-years in women 80 years and older. Among men, the incidence rate was low until the age of 80 years and older, and reached a peak of 24 per 10,000 person-years. The incidence rate among women between 50 and 79 years was 54/10,000 person-years. Extra-articular AO type A fractures were most common among all age groups, comprising 50 % of all fractures (40 % in men and 53 % in women). The overall incidence rate of distal radius fracture was 20 per 10,000 person-years. This incidence increases with age for both women and men. A lower incidence rate among women 50–79 years of age was found than previously reported, which may indicate a declining incidence in this age group. Extra-articular AO type A fractures were the most common fracture types.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Fanuele J, Koval KJ, Lurie J, Zhou W, Tosteson A, Ring D. Distal radial fracture treatment: what you get may depend on your age and address. J Bone Joint Surg Am. 2009;91:1313–9.

    Article  PubMed Central  PubMed  Google Scholar 

  2. Angermann P, Lohmann M. Injuries to the hand and wrist. A study of 50.272 injuries. J Hand Surg Br. 1993;18:642–4.

    Article  CAS  PubMed  Google Scholar 

  3. Singer BR, McLauchlan GJ, Robinson CM, Christie J. Epidemiology of fractures in 15,000 adults: the influence of age and gender. J Bone Joint Surg Br. 1998;80:243–8.

    Article  CAS  PubMed  Google Scholar 

  4. Hill C, Riaz M, Mozzam A, Brennen MD. A regional audit of hand and wrist injuries. A study of 4,873 injuries. J Hand Surg Br. 1998;23:196–200.

    Article  CAS  PubMed  Google Scholar 

  5. Brogren E, Petranek M, Atroshi I. Incidence and characteristics of distal radius fractures in a southern Swedish region. BMC Musculoskelet Disord. 2007;8:48.

    Article  PubMed Central  PubMed  Google Scholar 

  6. Oskam J, Kingma J, Klasen HJ. Fracture of the distal forearm: epidemiological developments in the period 1971–1995. Injury. 1998;29:353–5.

    Article  CAS  PubMed  Google Scholar 

  7. Robertsson GO, Jonsson GT, Sigurjonsson K. Epidemiology distal radius fractures in Iceland in 1985. Acta Orthop Scand. 1990;61:457–9.

    Article  CAS  PubMed  Google Scholar 

  8. Melton LJ 3rd, Amadio PC, Crowson CS, O’Fallon WM. Long-term trends in the incidence of distal forearm fractures. Osteoporos Int. 1998;8:341–8.

    Article  PubMed  Google Scholar 

  9. Bengner U, Johnell O. Increasing incidence of forearm fractures. A comparison of epidemiologic patterns 25 years apart. Acta Orthop Scand. 1985;56:158–60.

    Article  CAS  PubMed  Google Scholar 

  10. Falch JA. Epidemiology of fractures of the distal forearm in Oslo, Norway. Acta Orthop Scand. 1983;54:291–5.

    Article  CAS  PubMed  Google Scholar 

  11. Hove LM, Fjeldsgaard K, Reitan R, Skjeie R, Sorensen FK. Fractures of the distal radius in a Norwegian city. Scand J Plast Reconstr Surg Hand Surg. 1995;29:263–7.

    Article  CAS  PubMed  Google Scholar 

  12. Miller SW, Evans JG. Fractures of the distal forearm in Newcastle: an epidemiological survey. Age Ageing. 1985;14:155–8.

    Article  CAS  PubMed  Google Scholar 

  13. Cummings SR, Melton LJ. Epidemiology and outcomes of osteoporotic fractures. Lancet. 2002;359:1761–7.

    Article  PubMed  Google Scholar 

  14. Mallmin H, Ljunghall S. Incidence of Colles’ fracture in Uppsala. A prospective study of a quarter-million population. Acta Orthop Scand. 1992;63:213–5.

    Article  CAS  PubMed  Google Scholar 

  15. Solgaard S, Petersen VS. Epidemiology of distal radius fractures. Acta Orthop Scand. 1985;56:391–3.

    Article  CAS  PubMed  Google Scholar 

  16. Browner WS, Pressman AR, Nevitt MC, Cummings SR. Mortality following fractures in older women. The study of osteoporotic fractures. Arch Intern Med. 1996;22(156):1521–5.

    Article  Google Scholar 

  17. Johnell O, Kanis JA, Od′en A, Sernbo I, Redlund-Johnell I, Petterson C, De Laet C, J¨onsson B. Mortality after osteoporotic fractures. Osteoporos Int. 2004;15:38–42.

    Article  CAS  PubMed  Google Scholar 

  18. Cauley JA, Thompson DE, Ensrud KC, Scott JC, Black D. Risk of mortality following clinical fractures. Osteoporos Int. 2000;11:556–61.

    Article  CAS  PubMed  Google Scholar 

  19. US Department of Health and Human Services. Bone health and osteoporosis: a report of the Surgeon General. Rockville, MD: US Department of Health and Human Services, Office of the Surgeon General; 2004.

  20. Brauer CA, Coca-Perraillon M, Cutler DM, Rosen AB. Incidence and mortality of hip fractures in the United States. JAMA. 2009;14(302):1573–9.

    Article  Google Scholar 

  21. Kannus P, Sievänen H, Palvanen M, Järvinen T, Parkkari J. Prevention of falls and consequent injuries in elderly people. Lancet. 2005;336:1885–93.

    Article  Google Scholar 

  22. Gillespie LD, Robertson MC, Gillespie WJ, Lamb SE, Gates S, Cumming RG, Rowe BH. Interventions for preventing falls in older people living in the community. Cochrane Database Syst Rev. 2009;15:CD007146.

    Google Scholar 

  23. Sennerby U, Melhus H, Gedeborg R, Byberg L, Garmo H, Ahlbom A, Pedersen NL, Michaëlsson K. Cardiovascular diseases and risk of hip fracture. JAMA. 2009;302:1666–73.

    Article  CAS  PubMed  Google Scholar 

  24. Bartl C, Stengel D, Bruckner T, Rossion I, Luntz S, Seiler C, Gebhard F. Open reduction and internal fixation versus casting for highly comminuted and intra-articular fractures of the distal radius (ORCHID): protocol for a randomized clinical multi-center trial. Trials. 2011;22(12):84.

    Article  Google Scholar 

  25. Andersen DJ, Blair WF, Steyers CMJ, Adams BD, El-Khouri GY, Brandser EA. Classification of distal radius fractures: an analysis of interobserver reliability and intraobserver reproducibility. J Hand Surg (Am). 1996;21:574–82.

    Article  CAS  Google Scholar 

Download references

Acknowledgments

This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.

Conflict of interest

The authors declare that they have no competing interests.

Author information

Authors and Affiliations

  1. Department of Surgery, Spaarne Ziekenhuis, Spaarnepoort 1, 2134 TM, Hoofddorp, The Netherlands

    A. Bentohami & G. J. M. Akkersdijk

  2. Trauma Unit Department of Surgery, Academic Medical Center, Amsterdam, The Netherlands

    J. C. Goslings & N. W. L. Schep

  3. Department of Surgery, Onze Lieve Vrouwe Gasthuis, Amsterdam, The Netherlands

    J. Bosma

  4. Department of Surgery, Flevoziekenhuis, Almere, The Netherlands

    B. van Dijkman

Authors
  1. A. Bentohami
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. J. Bosma
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. G. J. M. Akkersdijk
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. B. van Dijkman
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. J. C. Goslings
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. N. W. L. Schep
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to A. Bentohami.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Bentohami, A., Bosma, J., Akkersdijk, G.J.M. et al. Incidence and characteristics of distal radial fractures in an urban population in The Netherlands. Eur J Trauma Emerg Surg 40, 357–361 (2014). https://doi.org/10.1007/s00068-014-0394-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00068-014-0394-7

Keywords

Search

Navigation