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Epidemiology of adult ankle fractures in Sweden between 1987 and 2004: a population-based study of 91,410 Swedish inpatients.

Thur CK, Edgren G, Jansson KÅ, Wretenberg P - Acta Orthop (2012)

Bottom Line: Data on all inpatients aged 15 years and older with ankle fracture were extracted from the Swedish National Patient Register for the period 1987-2004.Mean age at admission was 45 (SD 19) years for men and 58 (18) for women.The major mechanism of injury was falling at the same level (64%).

View Article: PubMed Central - PubMed

Affiliation: Department of Molecular Medicine and Surgery, Section of Orthopaedics and Sports Medicine, Karolinska Institutet and Karolinska University Hospital, Stockholm, Sweden. charlotte.karlsson-thur@karolinska.se

ABSTRACT

Background and purpose: Previous national epidemiological data on the characteristics and trends of patients with ankle fractures have been limited. We therefore analyzed data on Swedish inpatients with ankle fractures in this nationwide population study, based on data from 1987 through 2004.

Patients and methods: Data on all inpatients aged 15 years and older with ankle fracture were extracted from the Swedish National Patient Register for the period 1987-2004.

Results: We identified 91,410 hospital admissions with ankle fracture, corresponding to an annual incidence rate of 71 per 10(5) person-years. During the study period, the number of hospital admissions increased by 0.2% annually, mainly from increase in fracture incidence in the elderly women. Mean age at admission was 45 (SD 19) years for men and 58 (18) for women. The major mechanism of injury was falling at the same level (64%).

Interpretation: This nationwide study of inpatients with ankle fractures showed an increase in fracture incidence, particularly in elderly women.

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Related in: MedlinePlus

Incidence rates (per 105 person-years with 95% CI) of ankle fractures in Sweden during the period 1987–2004, stratified by age and sex.
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Figure 2: Incidence rates (per 105 person-years with 95% CI) of ankle fractures in Sweden during the period 1987–2004, stratified by age and sex.

Mentions: Men had their peak incidence during the first decades of life (age 15–29), at 67 (CI: 66–68) per 105 person-years, while women had an increase in fracture incidence from their fifth decade of life, at 107 (CI: 104–109) per 105 person-years and increasing with age (Figure 2). When broken down by fracture type, it was evident that the total was dominated by closed bi- or tri-malleolar fractures, at 33 (CI: 33–34) per 105 person-years, followed by closed lateral malleolar fractures, at 29 (CI: 29–30) per 105 person-years. The incidence of closed bi- and tri-malleolar fractures was most pronounced in elderly women (Figure 3).


Epidemiology of adult ankle fractures in Sweden between 1987 and 2004: a population-based study of 91,410 Swedish inpatients.

Thur CK, Edgren G, Jansson KÅ, Wretenberg P - Acta Orthop (2012)

Incidence rates (per 105 person-years with 95% CI) of ankle fractures in Sweden during the period 1987–2004, stratified by age and sex.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3369155&req=5

Figure 2: Incidence rates (per 105 person-years with 95% CI) of ankle fractures in Sweden during the period 1987–2004, stratified by age and sex.
Mentions: Men had their peak incidence during the first decades of life (age 15–29), at 67 (CI: 66–68) per 105 person-years, while women had an increase in fracture incidence from their fifth decade of life, at 107 (CI: 104–109) per 105 person-years and increasing with age (Figure 2). When broken down by fracture type, it was evident that the total was dominated by closed bi- or tri-malleolar fractures, at 33 (CI: 33–34) per 105 person-years, followed by closed lateral malleolar fractures, at 29 (CI: 29–30) per 105 person-years. The incidence of closed bi- and tri-malleolar fractures was most pronounced in elderly women (Figure 3).

Bottom Line: Data on all inpatients aged 15 years and older with ankle fracture were extracted from the Swedish National Patient Register for the period 1987-2004.Mean age at admission was 45 (SD 19) years for men and 58 (18) for women.The major mechanism of injury was falling at the same level (64%).

View Article: PubMed Central - PubMed

Affiliation: Department of Molecular Medicine and Surgery, Section of Orthopaedics and Sports Medicine, Karolinska Institutet and Karolinska University Hospital, Stockholm, Sweden. charlotte.karlsson-thur@karolinska.se

ABSTRACT

Background and purpose: Previous national epidemiological data on the characteristics and trends of patients with ankle fractures have been limited. We therefore analyzed data on Swedish inpatients with ankle fractures in this nationwide population study, based on data from 1987 through 2004.

Patients and methods: Data on all inpatients aged 15 years and older with ankle fracture were extracted from the Swedish National Patient Register for the period 1987-2004.

Results: We identified 91,410 hospital admissions with ankle fracture, corresponding to an annual incidence rate of 71 per 10(5) person-years. During the study period, the number of hospital admissions increased by 0.2% annually, mainly from increase in fracture incidence in the elderly women. Mean age at admission was 45 (SD 19) years for men and 58 (18) for women. The major mechanism of injury was falling at the same level (64%).

Interpretation: This nationwide study of inpatients with ankle fractures showed an increase in fracture incidence, particularly in elderly women.

Show MeSH
Related in: MedlinePlus