Epidemiological Characteristics of Major Joints Fracture‐Dislocations
| Autor: | Yingze Zhang, Yanbin Zhu, Wei-guang Zhao, Xiao-li Yan, Jiangtao Ma |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
musculoskeletal diseases
Adult Male medicine.medical_specialty China Adolescent Epidemiology Elbow Dentistry Wrist Young Adult medicine Humans Orthopedics and Sports Medicine Intra-articular fracture Child Aged Retrospective Studies Orthopedic surgery Aged 80 and over Clinical Article business.industry Fracture Dislocation Fracture Dislocations Infant Newborn Infant Retrospective cohort study Middle Aged medicine.anatomical_structure Concomitant Child Preschool Sex distribution Clinical Articles Surgery Joints Female Ankle business RD701-811 Age distribution |
| Zdroj: | Orthopaedic Surgery Orthopaedic Surgery, Vol 13, Iss 8, Pp 2310-2317 (2021) |
| ISSN: | 1757-7861 1757-7853 |
| Popis: | Objective To describe the epidemiological features of major joints fracture‐dislocations between 2015 and 2019. Methods This retrospective study enrolled patients with majorintra‐articular fracture‐dislocations who were treated in the third hospital of Hebei Medical University from January 2015 to December 2019. A total of 582 patients (389 [66.84%] males and 193 [33.16%] females) were identified. The distribution characteristics of intra‐articular fracture‐dislocations involving shoulder, elbow, wrist, hip, knee, and ankle joints were included. The potential associations between fractures with concomitant dislocations and related factors, such as age, gender and sites were explored. Results There were 92 cases (15.81%) of shoulder joints, 67 cases (11.51%) of elbow joints, 45 cases (7.73%) of wrist joints, 181 cases (31.10%) of hip joints, 42 cases (7.22%) of knee joints, and 155 cases (26.63%) of ankle joints. The overall male‐to‐female ratio was 2.02:1.The highest proportion age group of the six types intra‐articular fracture‐dislocations included the ages 25‐34 years. For males, the highest proportion age group was 25‐34 years, for females, it was 45–54 years. For male patients, hip was the most common, accounted for 35.48%, but ankle fracture‐dislocation was the most common for females, accounted for 30.57%. The highest proportion age group of shoulder fracture‐dislocation included the ages 55‐64 years(22.83%), with a male to female ratio of 1.24:1. While the age group with the highest risk of elbow, wrist, hip, knee and ankle fracture‐ dislocation was 25‐34 years (28.36%) with a male to female ratio of 2.19:1, 25‐34 years (31.11%) with a male to female ratio of 8:1, 45‐54 years (27.07%) with a male to female ratio of 3.21:1, 15‐24 years (45.24%) with a male to female ratio of 0.75:1, 25‐44 years (43.87%) with a male to female ratio of 1.63:1, respectively. The most common site of joint fracture‐dislocation in different age groups was corresponding as follows, 0‐14 years(elbow), 15‐24 years(knee), 25‐34 years(hip), 35‐44 years(hip), 45‐54 years(hip), 55‐64 years(ankle), 65‐74 years(shoulder), ≥75 years(shoulder). Conclusion Major joints fracture‐dislocations were most common in the hip and the least common in the knee, and there were more men than women. Hip was the most common affected joint in men while ankle in women. Age and sex factors can significantly affect the location of intra articular fracture and dislocation. The current study could aid orthopaedic surgeons in a better understanding of this injury and help to implement targeted preventive measures. The current study revealed the age and gender epidemiological characteristics of major joints fracture‐dislocations, which could aid orthopaedic surgeons in a better understanding of this injury and help to implement targeted preventive measures. |
| Databáze: | OpenAIRE |
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