Mortality and subsequent fractures of patients with olecranon fractures compared to other upper extremity osteoporotic fractures

Background The incidence rate of olecranon fractures is highest in the elderly population. The aim of this study was to determine whether patients with olecranon fractures have similar demographic and risk characteristics compared to patients with osteoporotic upper extremity fractures. Methods A re...

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Veröffentlicht in:Shoulder & elbow 2024-04, Vol.16 (2), p.186-192
Hauptverfasser: Rantalaiho, Ida K, Laaksonen, Inari, Kostensalo, Joel, Ekman, Elina M, Ryösä, Anssi J, Äärimaa, Ville O
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container_end_page 192
container_issue 2
container_start_page 186
container_title Shoulder & elbow
container_volume 16
creator Rantalaiho, Ida K
Laaksonen, Inari
Kostensalo, Joel
Ekman, Elina M
Ryösä, Anssi J
Äärimaa, Ville O
description Background The incidence rate of olecranon fractures is highest in the elderly population. The aim of this study was to determine whether patients with olecranon fractures have similar demographic and risk characteristics compared to patients with osteoporotic upper extremity fractures. Methods A retrospective data analysis was performed with diagnoses for olecranon fracture, distal radius fracture and proximal humerus fracture between 2014 and 2016. Results A total of 157 olecranon, 1022 distal radius and 451 proximal humerus fractures were identified. The risk of mortality after olecranon and distal radius fractures was comparable but statistically significantly higher after proximal humerus fractures (HR 1.97, 95% CI 1.19–3.27). The risk of subsequent osteoporotic fractures after an olecranon fracture was 10% at 1 year and 14% at 5 years and the risks did not differ statistically after a proximal humerus fracture, 6% and 11% (HR 0.65, 95% CI 0.40–1.06). After a distal radius fracture, the risks were statistically significantly lower: 2% and 5% (HR 0.35, 95% CI 0.22–0.56). Discussion Patients with olecranon fractures have essentially similar demographic characteristics compared to patients with distal radius fractures, but the probability for a subsequent fracture is significantly higher and more comparable to patients with proximal humerus fractures.
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The aim of this study was to determine whether patients with olecranon fractures have similar demographic and risk characteristics compared to patients with osteoporotic upper extremity fractures. Methods A retrospective data analysis was performed with diagnoses for olecranon fracture, distal radius fracture and proximal humerus fracture between 2014 and 2016. Results A total of 157 olecranon, 1022 distal radius and 451 proximal humerus fractures were identified. The risk of mortality after olecranon and distal radius fractures was comparable but statistically significantly higher after proximal humerus fractures (HR 1.97, 95% CI 1.19–3.27). The risk of subsequent osteoporotic fractures after an olecranon fracture was 10% at 1 year and 14% at 5 years and the risks did not differ statistically after a proximal humerus fracture, 6% and 11% (HR 0.65, 95% CI 0.40–1.06). After a distal radius fracture, the risks were statistically significantly lower: 2% and 5% (HR 0.35, 95% CI 0.22–0.56). Discussion Patients with olecranon fractures have essentially similar demographic characteristics compared to patients with distal radius fractures, but the probability for a subsequent fracture is significantly higher and more comparable to patients with proximal humerus fractures.</description><identifier>ISSN: 1758-5732</identifier><identifier>EISSN: 1758-5740</identifier><identifier>DOI: 10.1177/17585732221124301</identifier><identifier>PMID: 38655414</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Elbow</subject><ispartof>Shoulder &amp; elbow, 2024-04, Vol.16 (2), p.186-192</ispartof><rights>The Author(s) 2022</rights><rights>The Author(s) 2022.</rights><rights>The Author(s) 2022 2022 The British Elbow &amp; Shoulder Society</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c391t-405f5dfbe9c39f1ec9d4d768ee9a5711cf0c9bb58eb937211e1037fe0f6a9c9b3</cites><orcidid>0000-0001-7304-9700 ; 0000-0001-6203-1900</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/17585732221124301$$EPDF$$P50$$Gsage$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/17585732221124301$$EHTML$$P50$$Gsage$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,21818,27923,27924,43620,43621</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38655414$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rantalaiho, Ida K</creatorcontrib><creatorcontrib>Laaksonen, Inari</creatorcontrib><creatorcontrib>Kostensalo, Joel</creatorcontrib><creatorcontrib>Ekman, Elina M</creatorcontrib><creatorcontrib>Ryösä, Anssi J</creatorcontrib><creatorcontrib>Äärimaa, Ville O</creatorcontrib><title>Mortality and subsequent fractures of patients with olecranon fractures compared to other upper extremity osteoporotic fractures</title><title>Shoulder &amp; elbow</title><addtitle>Shoulder &amp; Elbow</addtitle><description>Background The incidence rate of olecranon fractures is highest in the elderly population. The aim of this study was to determine whether patients with olecranon fractures have similar demographic and risk characteristics compared to patients with osteoporotic upper extremity fractures. Methods A retrospective data analysis was performed with diagnoses for olecranon fracture, distal radius fracture and proximal humerus fracture between 2014 and 2016. Results A total of 157 olecranon, 1022 distal radius and 451 proximal humerus fractures were identified. The risk of mortality after olecranon and distal radius fractures was comparable but statistically significantly higher after proximal humerus fractures (HR 1.97, 95% CI 1.19–3.27). The risk of subsequent osteoporotic fractures after an olecranon fracture was 10% at 1 year and 14% at 5 years and the risks did not differ statistically after a proximal humerus fracture, 6% and 11% (HR 0.65, 95% CI 0.40–1.06). After a distal radius fracture, the risks were statistically significantly lower: 2% and 5% (HR 0.35, 95% CI 0.22–0.56). 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The aim of this study was to determine whether patients with olecranon fractures have similar demographic and risk characteristics compared to patients with osteoporotic upper extremity fractures. Methods A retrospective data analysis was performed with diagnoses for olecranon fracture, distal radius fracture and proximal humerus fracture between 2014 and 2016. Results A total of 157 olecranon, 1022 distal radius and 451 proximal humerus fractures were identified. The risk of mortality after olecranon and distal radius fractures was comparable but statistically significantly higher after proximal humerus fractures (HR 1.97, 95% CI 1.19–3.27). The risk of subsequent osteoporotic fractures after an olecranon fracture was 10% at 1 year and 14% at 5 years and the risks did not differ statistically after a proximal humerus fracture, 6% and 11% (HR 0.65, 95% CI 0.40–1.06). After a distal radius fracture, the risks were statistically significantly lower: 2% and 5% (HR 0.35, 95% CI 0.22–0.56). Discussion Patients with olecranon fractures have essentially similar demographic characteristics compared to patients with distal radius fractures, but the probability for a subsequent fracture is significantly higher and more comparable to patients with proximal humerus fractures.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>38655414</pmid><doi>10.1177/17585732221124301</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0001-7304-9700</orcidid><orcidid>https://orcid.org/0000-0001-6203-1900</orcidid><oa>free_for_read</oa></addata></record>
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title Mortality and subsequent fractures of patients with olecranon fractures compared to other upper extremity osteoporotic fractures
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