Patients with DRFs were identified from the clinical record, using the international statistical classification of diseases and related health problems, tenth version codes (ICD-10). All the patients managed in the ED for a DRF in a 4-year period (from 1 January 2017 to 31 January 2021) were enrolled. The aim of this study was to present a detailed epidemiologic survey of a large consecutive series of patients with DRF in a large suburban area evaluating many aspects that are still unclear.Ī retrospective study was conducted in the emergency department (ED) of a level I trauma hospital, serving a large suburban area. Īlthough DRF is the most common fracture in adults, literature is still lacking in clinical data on several aspects of these fractures, such as the correlation between patient demographics, the fracture patterns, the period of the year in which the fractures occurred, and the different trauma mechanisms responsible for this injury. Little clarity emerges regarding the epidemiology of the fracture pattern as DRFs are often identified with different eponyms, including Colles, Smith, Barton, and Hutchinson fracture, instead of using a standardized classification system, leading to uncertain clinical and radiological outcomes after both nonoperative and surgical treatments. High-energy trauma is the documented fracture mechanism in younger patients, while low-energy trauma, is the most common cause of injury in the elderly. Previous research has demonstrated that DRFs occur mainly in pediatric males and in postmenopausal women, while a consistent incidence has been observed also in young adult men aged 19–49 years. Many factors have been proposed to determine the source of the increasing rates of DRFs: lifestyle, environment, rise in life expectancy, increased obesity in childhood, and osteoporosis rate in elderly population. Level IV case series descriptive epidemiology study.ĭistal radius fractures (DRFs) represent the most common fractures in adults, showing an overall prevalence of 17.5% with respect to all fractures. Low-energy trauma occurring at home is the main cause of fracture among younger males sustaining fractures after sports trauma Complete articular is the most frequent fracture pattern, while 2R3A2.2 is most frequent fracture type. ConclusionsĭRFs have a higher prevalence in females, an increase in incidence with older age, and no seasonal predisposition. ![]() Furthermore, considering different fracture patterns and patient age groups, a statistically significant difference was found ( p < 0.001). The mean age of patients with extraarticular fractures (mean age 61.75 years SD 18.18 years) was higher than that of those with complete (mean age 59.84 years SD 15.67 years) and partial fractures (mean age 55.26 years SD 18.31 years). A significant correlation between all trauma mechanisms (from 1 to 6) and different fracture patterns (complete, partial, and extraarticular) was found ( p value < 0.001). In both genders, trauma mechanism 2 was more frequent (59.4% F 31.9% M p 45 years. Low-energy trauma occurring outside home was found to be the major cause of DRF throughout the year. Regarding the period in which the fracture occurred, 305 DRFs (37.5%) were observed in the warmer months and 272 (33.4%) in the colder months. ![]() The most frequent pattern of fracture was the complete articular fracture (64.3%), while the most represented fracture type was 2R3A2.2 (21.5%). The mean age of females at the time of fracture was significantly higher than that of males. The patients’ mean age was 60.23 years, with the left side being most frequently involved (56.1%). Data on age, gender, side, period in which fracture occurred, and fracture mechanism were collected. DRFs were classified according to Association of Osteosynthesis classification. All fractures were radiographically evaluated. ![]() This retrospective study included 827 consecutive patients (579 females, 248 men) who sustained a DRFs in the last 5 years. The aim of this study was to present a detailed epidemiologic survey of a large consecutive series of patient with DRFs. Literature lacks data on correlations between epidemiology and clinical data of patients with distal radius fractures (DRFs).
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