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Bradley G Changstrom, Lina Brou, Morteza Khodaee, Cortney Braund, R Dawn Comstock
BACKGROUND: High school athletes in the United States sustain millions of injuries annually, approximately 10% of which are fractures. However, there is no clear estimate of the number of stress fractures sustained by high school athletes annually despite reports that stress fractures account for 0.7% to 20% of injuries seen in sports medicine clinics. This suggests a high utilization of resources for a potentially preventable injury. In addition, stress fractures have been associated with low energy availability and disordered eating in young athletes, highlighting the importance of early recognition and intervention...
January 2015: American Journal of Sports Medicine
Björn E Rosengren, Magnus Karlsson, Ingemar Petersson, Martin Englund
Recent reports on adult fracture epidemiology have focused mainly on the hip in the elderly, in whom increasing rates lately have changed to a decline. New reports of the preponderance of nonhip fractures in health expenditure call for a wider scope. We therefore examined current overall and site-specific fracture epidemiology in adults. We ascertained all fractures diagnosed in inpatient and outpatient care in all men and women aged 20 years or older in Skåne County, Sweden, from 1999 to 2010 (10 million person-years)...
March 2015: Journal of Bone and Mineral Research: the Official Journal of the American Society for Bone and Mineral Research
B Abrahamsen, N R Jørgensen, P Schwarz
UNLABELLED: National epidemiological studies of forearm fractures are scarce. We examined in- and outpatient rates in Denmark, including anatomical location, surgery, hospitalization ratio, recurrent fractures, and ratio of forearm to hip fractures. This may be useful for triangulation in countries with less detailed information. Rates were higher than previously estimated. INTRODUCTION: Despite a significant contribution to the overall burden of osteoporotic, nonvertebral fractures, relatively little information is available about age- and gender-specific incidence rates for many countries including Denmark...
January 2015: Osteoporosis International
S A Aitken, J D Hutchison, M M McQueen, C M Court-Brown
Epidemiological studies enhance clinical practice in a number of ways. However, there are many methodological difficulties that need to be addressed in designing a study aimed at the collection and analysis of data concerning fractures and other injuries. Most can be managed and errors minimised if careful attention is given to the design and implementation of the research.
July 2014: Bone & Joint Journal
H P Dimai, A Svedbom, A Fahrleitner-Pammer, H Resch, C Muschitz, H Thaler, M Szivak, K Amrein, F Borgström
UNLABELLED: 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. INTRODUCTION: 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...
September 2014: Osteoporosis International
Anders Odén, John A Kanis, Eugene V McCloskey, Helena Johansson
Although the optimal requirement of vitamin D for skeletal health in the general community is controversial, vitamin D deficiency impairs bone mineralization and increases bone turnover via secondary hyperparathyroidism, thus accelerating bone loss and increasing fracture risk. Support for a role of vitamin D deficiency in the epidemiology of hip fracture is found in the seasonal variation of hip fracture incidence that is reported in several studies. If the association were causal, then the incidence and amplitude of the seasonal variation in hip fracture risk should vary by latitude...
October 2014: Journal of Bone and Mineral Research: the Official Journal of the American Society for Bone and Mineral Research
Shreyasee Amin, Sara J Achenbach, Elizabeth J Atkinson, Sundeep Khosla, L Joseph Melton
To assess recent trends in fracture incidence from all causes at all skeletal sites, we used the comprehensive (inpatient and outpatient) data resources of the Rochester Epidemiology Project to estimate rates for Olmsted County, MN, USA, residents in 2009 to 2011 compared with similar data from 1989 to 1991. During the 3-year study period, 2009 to 2011, 3549 residents ≥50 years of age experienced 5244 separate fractures. The age- and sex-adjusted (to the 2010 US white population) incidence of any fracture was 2704 per 100,000 person-years (95% confidence interval [CI] 2614 to 2793) and that for all fractures was 4017 per 100,000 (95% CI 3908 to 4127)...
March 2014: Journal of Bone and Mineral Research: the Official Journal of the American Society for Bone and Mineral Research
Mervi K Mäyränpää, Outi Mäkitie, Pentti E Kallio
Fractures are common in children, and some studies suggest an increasing incidence. Data on population-based long-term trends are scarce. In order to establish fracture incidence and epidemiologic patterns, we carried out a population-based study in Helsinki, Finland. All fractures in children aged 0 to 15 years were recorded from public health care institutions during a 12-month period in 2005. Details regarding patient demographics, fracture site, and trauma mechanism were collected. All fractures were confirmed from radiographs...
December 2010: Journal of Bone and Mineral Research: the Official Journal of the American Society for Bone and Mineral Research
Akira Kido, Fumitaka Inoue, Yoshinori Takakura, Toru Hoshida
BACKGROUND: Bleeding pelvic fracture patients with severe associated injuries have a high mortality rate that is exacerbated by several factors. To gain deeper etiological insights into this injury, we investigated the specific risk factors associated with the high mortality rate. METHODS: A total of 102 bleeding pelvic fracture patients with severe associated injuries (abbreviated injury score > or =3) were treated at our level I trauma center between January 1994 and December 2004...
January 2008: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
Zsolt Balogh, Kate L King, Peter Mackay, Debra McDougall, Stuart Mackenzie, Julie A Evans, Timothy Lyons, Stephen A Deane
BACKGROUND: The severity of pelvic ring fractures (PRFs) can range from minor injury with low-energy mechanism to high-energy injury causing prehospital death. The purpose of this study was to prospectively describe the comprehensive pelvic fracture occurrence in an inclusive trauma system. METHODS: A 12-month prospective, population-based epidemiologic study was performed in the Hunter Region, New South Wales, Australia (population of 600,000, served by one Level I trauma center and 7 referring hospitals)...
November 2007: Journal of Trauma
Juan María Sánchez-Tocino, Fernando Turégano-Fuentes, Dolores Pérez-Díaz, Mercedes Sanz-Sánchez, Jesús Lago-Oliver, Jaime Zorrilla-Ortúzar, Darío Martínez-Baena
INTRODUCTION: The aim of this study was to review the incidence, treatment and outcome of severe pelvic fractures, as well as associated injuries, in our center. PATIENTS AND METHOD: We performed a retrospective study of patients included in our trauma registry between June 1993 and January 2005. Pelvic fractures were classified according to the system proposed by Tile. Clinical and demographic data such as age, gender, mechanism of injury, transfer time, hemodynamic status, and trauma scores were compared and analyzed statistically...
June 2007: Cirugía Española
Xiao Qi, Dong-liang Yang, Feng Qi, Qi-hua Zhang, Ju-ping Wang
OBJECTIVE: To analyze the epidemiological conditions and characteristics of inpatients with traffic trauma in order to provide objective data for basic research and clinical application of traffic trauma. METHODS: The data of 2213 inpatients with traffic trauma admitted to Lihuili Hospital, Ningbo Medical Centre, Ningbo, China, from January 2003 to September 2005 were studied retrospectively. According to the transportation ways, the patients were divided into four groups: pedestrians, bicyclists, motorcyclists, and automobilists...
August 2006: Chinese Journal of Traumatology, Zhonghua Chuang Shang za Zhi
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