Neck of femur fracture epidemiology and demographics: Difference between revisions
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*Patients of all age groups may develop tibial plateau fracture.<ref name="pmid16814787">{{cite journal| author=Court-Brown CM, Caesar B| title=Epidemiology of adult fractures: A review. | journal=Injury | year= 2006 | volume= 37 | issue= 8 | pages= 691-7 | pmid=16814787 | doi=10.1016/j.injury.2006.04.130 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16814787 }} </ref><ref name="pmid24453653">{{cite journal| author=Albuquerque RP, Hara R, Prado J, Schiavo L, Giordano V, do Amaral NP| title=Epidemiological study on tibial plateau fractures at a level I trauma center. | journal=Acta Ortop Bras | year= 2013 | volume= 21 | issue= 2 | pages= 109-15 | pmid=24453653 | doi=10.1590/S1413-78522013000200008 | pmc=3861961 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24453653 }} </ref> | *Patients of all age groups may develop tibial plateau fracture.<ref name="pmid16814787">{{cite journal| author=Court-Brown CM, Caesar B| title=Epidemiology of adult fractures: A review. | journal=Injury | year= 2006 | volume= 37 | issue= 8 | pages= 691-7 | pmid=16814787 | doi=10.1016/j.injury.2006.04.130 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16814787 }} </ref><ref name="pmid24453653">{{cite journal| author=Albuquerque RP, Hara R, Prado J, Schiavo L, Giordano V, do Amaral NP| title=Epidemiological study on tibial plateau fractures at a level I trauma center. | journal=Acta Ortop Bras | year= 2013 | volume= 21 | issue= 2 | pages= 109-15 | pmid=24453653 | doi=10.1590/S1413-78522013000200008 | pmc=3861961 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24453653 }} </ref> | ||
*Tibial plateau fracture showed [[bimodal distribution]] among women and a [[Unimodal function|unimodal]] distribution among men. | *Tibial plateau fracture showed [[bimodal distribution]] among women and a [[Unimodal function|unimodal]] distribution among men. | ||
*Men had an increasing incidence of fractures until 50 to 60 years of age, followed by a decline in incidence. | *Men had an increasing [[incidence]] of fractures until 50 to 60 years of age, followed by a decline in [[incidence]]. | ||
*Women showed a peak incidence between 20 and 30 years of age. | *Women showed a peak [[incidence]] between 20 and 30 years of age. | ||
*After the age of 40 years, they had an increase in incidence throughout life compared with men. | *After the age of 40 years, they had an increase in [[incidence]] throughout life compared with men. | ||
*Tibial plateau fractures are most common between the ages of 30 and 60 years. | *Tibial plateau fractures are most common between the ages of 30 and 60 years. | ||
*The median age at [[diagnosis]] is 57.7 years for women and 46.8 years for men. | *The median age at [[diagnosis]] is 57.7 years for women and 46.8 years for men. | ||
===Race=== | ===Race=== | ||
*There is no racial predilection to tibial plateau fracture.<ref>{{cite book | last = Rockwood | first = Charles | title = Rockwood and Green's fractures in adults | publisher = Wolters Kluwer Health/Lippincott Williams & Wilkins | location = Philadelphia, PA | year = 2010 | isbn = 9781605476773 }}</ref> | *There is no racial predilection to [[tibial plateau fracture]].<ref>{{cite book | last = Rockwood | first = Charles | title = Rockwood and Green's fractures in adults | publisher = Wolters Kluwer Health/Lippincott Williams & Wilkins | location = Philadelphia, PA | year = 2010 | isbn = 9781605476773 }}</ref> | ||
===Gender=== | ===Gender=== | ||
*Men are more commonly affected by tibial plateau fracture than women.<ref name="pmid24453653">{{cite journal| author=Albuquerque RP, Hara R, Prado J, Schiavo L, Giordano V, do Amaral NP| title=Epidemiological study on tibial plateau fractures at a level I trauma center. | journal=Acta Ortop Bras | year= 2013 | volume= 21 | issue= 2 | pages= 109-15 | pmid=24453653 | doi=10.1590/S1413-78522013000200008 | pmc=3861961 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24453653 }} </ref><ref name="pmid1093768">{{cite journal| author=Schulak DJ, Gunn DR| title=Fractures of tibial plateaus. A review of the literature. | journal=Clin Orthop Relat Res | year= 1975 | volume= | issue= 109 | pages= 166-77 | pmid=1093768 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1093768 }} </ref> | *Men are more commonly affected by [[tibial plateau fracture]] than women.<ref name="pmid24453653">{{cite journal| author=Albuquerque RP, Hara R, Prado J, Schiavo L, Giordano V, do Amaral NP| title=Epidemiological study on tibial plateau fractures at a level I trauma center. | journal=Acta Ortop Bras | year= 2013 | volume= 21 | issue= 2 | pages= 109-15 | pmid=24453653 | doi=10.1590/S1413-78522013000200008 | pmc=3861961 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24453653 }} </ref><ref name="pmid1093768">{{cite journal| author=Schulak DJ, Gunn DR| title=Fractures of tibial plateaus. A review of the literature. | journal=Clin Orthop Relat Res | year= 1975 | volume= | issue= 109 | pages= 166-77 | pmid=1093768 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1093768 }} </ref> | ||
*The | *The male to female ratio is approximately 2.4 to 1. | ||
===Management=== | ===Management=== | ||
*Conservative management for tibial plateau fracture is done 7.9% of the cases.<ref name="pmid26375535">{{cite journal| author=Elsoe R, Larsen P, Nielsen NP, Swenne J, Rasmussen S, Ostgaard SE| title=Population-Based Epidemiology of Tibial Plateau Fractures. | journal=Orthopedics | year= 2015 | volume= 38 | issue= 9 | pages= e780-6 | pmid=26375535 | doi=10.3928/01477447-20150902-55 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26375535 }} </ref> | *Conservative management for [[tibial plateau fracture]] is done 7.9% of the cases.<ref name="pmid26375535">{{cite journal| author=Elsoe R, Larsen P, Nielsen NP, Swenne J, Rasmussen S, Ostgaard SE| title=Population-Based Epidemiology of Tibial Plateau Fractures. | journal=Orthopedics | year= 2015 | volume= 38 | issue= 9 | pages= e780-6 | pmid=26375535 | doi=10.3928/01477447-20150902-55 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26375535 }} </ref> | ||
*[[Surgery|Surgical]] management for tibial plateau fracture is done 92.1% of the cases. | *[[Surgery|Surgical]] management for [[tibial plateau fracture]] is done 92.1% of the cases. | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Latest revision as of 18:29, 22 April 2019
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Rohan A. Bhimani, M.B.B.S., D.N.B., M.Ch.[2]
Overview
The incidence of neck of femur fracture is approximately 146 per 100,000 individuals worldwide. Neck of femur fracture showed bimodal distribution among women and a unimodal distribution among men. Men had an increasing incidence of fractures until 50 to 60 years of age, followed by a decline in incidence. Women showed a peak incidence between 20 and 30 years of age. The median age at diagnosis is 57.7 years for women and 46.8 years for men. There is no racial predilection to tibial plateau fracture. Men are more commonly affected by tibial plateau fracture than women. Surgical management for tibial plateau fracture is done 92.1% of the cases.
Epidemiology and Demographics
Incidence
- The incidence of neck of femur fracture is approximately 146 per 100,000 individuals worldwide.[1]
Age
- Patients of all age groups may develop tibial plateau fracture.[2][3]
- Tibial plateau fracture showed bimodal distribution among women and a unimodal distribution among men.
- Men had an increasing incidence of fractures until 50 to 60 years of age, followed by a decline in incidence.
- Women showed a peak incidence between 20 and 30 years of age.
- After the age of 40 years, they had an increase in incidence throughout life compared with men.
- Tibial plateau fractures are most common between the ages of 30 and 60 years.
- The median age at diagnosis is 57.7 years for women and 46.8 years for men.
Race
- There is no racial predilection to tibial plateau fracture.[4]
Gender
- Men are more commonly affected by tibial plateau fracture than women.[3][5]
- The male to female ratio is approximately 2.4 to 1.
Management
- Conservative management for tibial plateau fracture is done 7.9% of the cases.[6]
- Surgical management for tibial plateau fracture is done 92.1% of the cases.
References
- ↑ Donaldson LJ, Cook A, Thomson RG (1990). "Incidence of fractures in a geographically defined population". J Epidemiol Community Health. 44 (3): 241–5. PMC 1060650. PMID 2273364.
- ↑ Court-Brown CM, Caesar B (2006). "Epidemiology of adult fractures: A review". Injury. 37 (8): 691–7. doi:10.1016/j.injury.2006.04.130. PMID 16814787.
- ↑ 3.0 3.1 Albuquerque RP, Hara R, Prado J, Schiavo L, Giordano V, do Amaral NP (2013). "Epidemiological study on tibial plateau fractures at a level I trauma center". Acta Ortop Bras. 21 (2): 109–15. doi:10.1590/S1413-78522013000200008. PMC 3861961. PMID 24453653.
- ↑ Rockwood, Charles (2010). Rockwood and Green's fractures in adults. Philadelphia, PA: Wolters Kluwer Health/Lippincott Williams & Wilkins. ISBN 9781605476773.
- ↑ Schulak DJ, Gunn DR (1975). "Fractures of tibial plateaus. A review of the literature". Clin Orthop Relat Res (109): 166–77. PMID 1093768.
- ↑ Elsoe R, Larsen P, Nielsen NP, Swenne J, Rasmussen S, Ostgaard SE (2015). "Population-Based Epidemiology of Tibial Plateau Fractures". Orthopedics. 38 (9): e780–6. doi:10.3928/01477447-20150902-55. PMID 26375535.