ArticleBMC musculoskeletal disorders2016
Epidemiology and patho-anatomical pattern of 2,011 humeral fractures: data from the Swedish Fracture Register.
Article in BMC musculoskeletal disorders, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 107 papers, 5 of them syntheses that pooled it.
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Who cites it
107 citing papers in PubMed, 5 syntheses or guidelines pooled it, 220 citations in OpenAlex.
- Clinical outcomes following Triceps-Reflecting Anconeus pedicle (TRAP) approach for treating intercondylar distal humerus fractures: A systematic review.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Pooled it
- Trends in reported outcomes and patient reported outcome measures (PROMs) in humeral shaft fracture literature: a systematic review.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Pooled it
- Cement-augmented locked plate fixation proximal humerus fractures in elderly patient: a systematic review and meta-analysis.BMC musculoskeletal disorders · 2024Pooled it
- Pooled it
- Radial nerve palsy associated with closed humeral shaft fractures: a systematic review of 1758 patients.Archives of orthopaedic and trauma surgery · 2021Pooled it
- Combined Medial and Lateral Approach Versus Paratricipital Approach in Open Reduction and Internal Fixation for Type C Distal Humerus Fracture: A Randomized Controlled Study.Orthopaedic surgery · 2023Trial
- Locking compression plate fixation versus intramedullary nailing of humeral shaft fractures: which one is better? A single-centre prospective randomized study.International orthopaedics · 2020Trial
- Hydroxyapatite/poly-L-lactide mesh tube versus β-tricalcium phosphate granules in locking plate fixation of proximal humeral fractures: a retrospective comparative study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Treatment of humeral shaft nonunion by exchange intramedullary nailing and circumferential cortical strut allograft: the Sarcophagus technique.JSES reviews, reports, and techniques · 2026Article
- Modular versus non-modular humeral stems in shoulder arthroplasty for proximal humerus fracture: a multicenter retrospective cohort study.Journal of orthopaedics · 2026Article
- 3D-printed customized semi-restrictive elbow prosthesis for severe pseudoarthritis following comminuted fractures of the distal humerus: A case report and review.Experimental and therapeutic medicine · 2026Article
- Article
- Incidence of proximal humerus fracture among older adults in Oslo, Norway varies by country background, marital status, and season.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026Article
- Lumbar spine DXA T-score and QCT BMD cutpoint values for defining osteofrailia among older men: a framework for further refinement.Skeletal radiology · 2026Review
- An Acta Orthopaedica educational article: Treatment of adult patients with a humeral shaft fracture.Acta orthopaedica · 2026Review
- Treatment and prognosis of proximal humerus fracture in older adults: a retrospective cohort study using health insurance claims database.BMC geriatrics · 2026Article
- The masquelet technique for severe open fractures: current insights.Journal of orthopaedic surgery and research · 2026Review
- The "Sandwich" technique using a lateral locking plate and intramedullary reconstruction plate with bone cement for osteoporotic proximal humerus fractures: a case series.Frontiers in surgery · 2026Article
- Major Upper-Extremity Fractures in Older Adults: Predictors of 5-Year Mortality.Geriatric orthopaedic surgery & rehabilitation · 2026Article
- Primary Stability of a New TendoClip Fixation for Tuberosity Refixation in Total Shoulder Arthroplasty.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2026Article
47 more citing papers are in PubMed but not listed here.
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHumeral fractures are common, but the association between the patho-anatomical fracture pattern and patient characteristics has been inadequately studied and epidemiological knowledge is scarce. Following the introduction of the Swedish Fracture Register (SFR), risk factors for various fractures can be studied, as well as the outcome of different treatments. The objective of this study was to analyse adult humeral fractures in Gothenburg from a descriptive epidemiological perspective.
methodsAll humeral fractures registered in the SFR at Sahlgrenska University Hospital in 2011-2013 in patients aged ≥ 16 years were included. The fractures were divided into humeral segments (proximal, shaft and distal humerus) and analysed according to patient characteristics and patho-anatomical pattern. Furthermore, overall and age-specific incidence rates were calculated.
resultsA total of 2,011 humeral fractures were registered in the SFR, of which 79% were proximal, 13% shaft and 8% distal humeral fractures. The mean age was 66.8 years and women ran a higher risk of humeral fractures than men (female/male ratio 2.4:1). On average, women were older than men at the time of fracture (mean age 70.1 years for women vs. 58.9 years for men). The overall incidence of humeral fractures was 104.7 per 100,000 inhabitants per year, with a segment-specific incidence of 83.0 for proximal fractures, 13.4 for shaft fractures and 8.3 per 100,000 person-years for distal fractures. There was a distinct increase in the age-specific incidence from the fifth decade and onwards, regardless of fracture site. Most fractures occurred in older patients (83% > 50 years) as a result of a simple or an unspecified fall (79% > 50 years). Only 1.2% of all fractures were open injuries and 1.3% were pathological.
conclusionThis population-based study provides updated epidemiological data on humeral fractures in a Western-European setting. Most humeral fractures occur as the result of low-energy falls in the elderly population, indicating the influence of age-related risk factors in these fractures. The SFR will be a useful tool for providing continuous information on fracture epidemiology, risk factors and treatment outcome and these population-based data are essential in the planning of future fracture prevention and management.
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