ArticleJournal of orthopaedic surgery and research2020
Trends in fracture development of the upper extremity in Germany-a population-based description of the past 15 years.
Article in Journal of orthopaedic surgery and research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 21 citations in OpenAlex.
- Vertebral Fracture as a Predictor of Subsequent Extremity Fractures: A Systematic Review.Journal of clinical medicine · 2026Review
- The impact of prior level of care on the course of proximal humeral fractures in older patients: an analysis based on health insurance claims data.BMC health services research · 2026Article
- Treatment of Proximal Humeral Fractures in Older Patients During COVID-19 Pandemic in Germany.Clinical epidemiology · 2025Article
- Conservative Versus Operative Treatment of Proximal Humerus Fractures in Older Individuals.Deutsches Arzteblatt international · 2024Article
- The Future of Total Elbow Arthroplasty: A Statistical Forecast Model for Germany.Healthcare (Basel, Switzerland) · 2024Article
- Epidemiology of distal radius fractures in Germany - incidence rates and trends based on inpatient and outpatient data.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2024Observational
- Rising incidence of stair-related upper extremity fractures among older adults in the United States: a 10-year nationwide analysis.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2023Article
- Treatment Reality of Proximal Humeral Fractures in the Elderly-Trending Variants of Locking Plate Fixation in Germany.Journal of clinical medicine · 2023Article
- Catastrophic failure of a titanium locking plate in a proximal humeral fracture: case report and literature review.BMC musculoskeletal disorders · 2022Review
- Hospitalizations for major osteoporotic fractures in Switzerland: a long-term trend analysis between 1998 and 2018.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2022Article
- [Post-traumatic necrosis of the humeral head-Endoprosthesis or joint preservation].Orthopadie (Heidelberg, Germany) · 2022Review
- Substantial changes in fracture rates in German hospitals in 2018 compared with 2002: an epidemiological study.Archives of orthopaedic and trauma surgery · 2022Article
- Epidemiology and economic burden of fragility fractures in Austria.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2022Article
- Projections of Primary and Revision Shoulder Arthroplasty until 2040: Facing a Massive Rise in Fracture-Related Procedures.Journal of clinical medicine · 2021Article
- Biomechanical Value of a Protective Proximal Humeral Cerclage in Reverse Total Shoulder Arthroplasty.Journal of clinical medicine · 2021Article
- Radiographic parameter(s) influencing functional outcomes following angular stable plate fixation of proximal humeral fractures.International orthopaedics · 2021Article
- Changing epidemiology of lower extremity fractures in adults over a 15-year period - a National Hospital Discharge Registry study.BMC musculoskeletal disorders · 2021Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRecent studies investigating fracture development in Germany are not available especially with regard to demographic change. The primary aim of this study was to report trends in fracture development of the upper extremity in Germany between 2002 and 2017 and to evaluate changes over time.
methodsEvaluating inpatient data from the German National Hospital Discharge Registry (International Classification of Diseases, ICD-10) between 2002 and 2017. Total count, incidences and percentage changes of the following fracture localizations were analysed: proximal humerus, distal humerus, proximal ulna, proximal radius, ulna diaphysis (including Monteggia lesion) and distal radius. Ten age groups for men and women were formed: 35-44, 45-54, 55-64, 65-74; 75-84; 85-90, and > 90 (years).
resultsThe total count of proximal humeral fractures increased from 40,839 (2002, men/women 9967/30,872) to 59,545 (2017, men/women 14,484/45,061). Distal humeral fractures increased from 5912 (2002, men/women 1559/4353) to 6493 (2017, men/women1840/4653). The total count of forearm fractures increased from 68,636 (2002, men/women 17,186/51,450) to 89,040 (2017, men/women 20,185/68,855). Women were affected in 70-75% of all cases with rising incidences among nearly every age group in female patients.
conclusionTotal count of nearly every evaluated fracture increased. Also, incidences increased especially in the older female age groups. Fracture development already seems to reflect demographic changes in Germany.
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