What question did this study set out to answer?

To evaluate national trends in the incidence and surgical management of acute proximal humeral fractures over a 23-year timeframe.

December 31, 2021The Bone & Joint Journal

Proximal humeral fractures in Finland

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Authors

OLOskari K. LeinoSatakunta Central Hospital KLKaisa LehtimäkiUniversity of Turku KMKeijo MäkeläUniversity of Helsinki

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Implication

A nationwide cohort study reveals declining surgical rates despite rising proximal humeral fractures in older adults, indicating a shift toward nonoperative management.

Key Points

To evaluate national trends in the incidence and surgical management of acute proximal humeral fractures over a 23-year timeframe.
Nationwide population-based study assessing all residents in Finland aged ≥ 16 years from 1997 to 2019 using two national health registers.
Identified diagnostic codes for acute proximal humeral fractures (N = 79,676) and surgical procedure codes for associated interventions (N = 14,941).
Fracture incidence increased steadily to an overall rate of 105 per 100,000 person-years in 2019, with rates reaching 147.1 per 100,000 for females and 407.1 per 100,000 for adults aged ≥ 80 years.
Surgical intervention incidence increased initially but subsequently declined during the second half of the study to 13.2 per 100,000 person-years (604 operations) in 2019, led by a decrease in plate osteosynthesis.

Cite This Study

Leino et al. (2021) studied this question.

synapsesocial.com/papers/6aa7d6498bd9f38873ae589f https://doi.org/10.1302/0301-620x.104b1.bjj-2021-0987.r1

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Implication

A nationwide cohort study reveals declining surgical rates despite rising proximal humeral fractures in older adults, indicating a shift toward nonoperative management.

Proximal humeral fractures in Finland

Discussion

Member takes

Implication

Key Points

Cite This Study

Proximal humeral fractures in Finland

Discussion

Member takes

Implication

Key Points

Cite This Study

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