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Seasonal variation of surgically treated distal radius fracture in Japan using inpatient database: cross-sectional study

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Abstract

Introduction

The purpose of this study was to clarify the relationship between seasonal variation and distal radius fractures using diagnosis procedure combination data in Japan.

Materials and Methods

The participants were hospitalized patients who underwent surgical treatment for distal radius fracture as the primary injury at hospitals that introduced the diagnosis procedure combination system between April 2011 and March 2016. We obtained a summary table of the month of admission, region of residence, age at admission, and sex of the patients from the Ministry of Health, Labour and Welfare and evaluated it by month, region, age group, and sex.

Results

The total number of patients for the 5 years from 2011 to 2016 was 105,025. There were 29,224 male and 75,801 female participants, with a female-to-male ratio of 2.6. The mean age was 60.2 (standard deviation, 20.8) years. Distal radius fractures occurred more frequently in the winter, especially among female individuals in eastern Japan. Female participants aged ≥ 50 years tended to have a higher incidence of distal radius fracture in winter. The incidence of distal radius fracture among male participants aged 0–19 years was higher from spring to autumn.

Conclusion

Surgically treated distal radius fractures occur frequently during the winter months among female individuals in eastern Japan or those aged ≥ 50 years and increase from school age to adolescence, especially in male individuals from spring to autumn. We should be aware of the high incidence of distal radius fractures in winter, especially in regions with snowfall and cold temperatures.

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References

  1. Rundgren J, Bojan A, Mellstrand Navarro C et al (2020) Epidemiology, classification, treatment and mortality of distal radius fractures in adults: an observational study of 23,394 fractures from the national Swedish fracture register. BMC Musculoskelet Disord 21:88

    Article  PubMed  PubMed Central  Google Scholar 

  2. Stirling ERB, Johnson NA, Dias JJ (2018) Epidemiology of distal radius fractures in a geographically defined adult population. J Hand Surg Eur 43:974–982

    Article  Google Scholar 

  3. Giladi AM, Shauver MJ, Ho A, et al (2014) Variation in the incidence of distal radius fractures in the U.S. elderly as related to slippery weather conditions. Plast Reconstr Surg 133:321–332

  4. Jacobsen SJ, Sargent DJ, Atkinson EJ, O’Fallon WM, Melton LJ 3rd (1999) Contribution of weather to the seasonality of distal forearm fractures: a population-based study in Rochester. Minnesota Osteoporos Int 9:254–259

    Article  CAS  PubMed  Google Scholar 

  5. Jo YH, Lee BG, Kim HS et al (2018) Incidence and seasonal variation of distal radius fractures in Korea: a population-based study. J Korean Med Sci 33:e48

    Article  PubMed  PubMed Central  Google Scholar 

  6. Sakuma M, Endo N, Oinuma T et al (2008) Incidence and outcome of osteoporotic fractures in 2004 in Sado City, Niigata Prefecture. Japan J Bone Miner Metab 26:373–378

    Article  PubMed  Google Scholar 

  7. Sakuma M, Endo N, Oinuma T et al (2014) Incidence of osteoporotic fractures in Sado, Japan in 2010. J Bone Miner Metab 32:200–205

    Article  PubMed  Google Scholar 

  8. Hagino H, Yamamoto K, Ohshiro H et al (1999) Changing incidence of hip, distal radius, and proximal humerus fractures in Tottori Prefecture. Japan Bone 24:265–270

    Article  CAS  PubMed  Google Scholar 

  9. Tsai CH, Muo CH, Fong YC et al (2011) A population-based study on trend in incidence of distal radial fractures in adults in Taiwan in 2000–2007. Osteoporos Int 22:2809–2815

    Article  PubMed  Google Scholar 

  10. Wilcke MK, Hammarberg H, Adolphson PY (2013) Epidemiology and changed surgical treatment methods for fractures of the distal radius: a registry analysis of 42,583 patients in Stockholm County, Sweden, 2004–2010. Acta Orthop 84:292–296

    Article  PubMed  PubMed Central  Google Scholar 

  11. Sigurdardottir K, Halldorsson S, Robertsson J (2011) Epidemiology and treatment of distal radius fractures in Reykjavik, Iceland, in 2004. Comparison with an Icelandic study from 1985. Acta Orthop 82:494–498

  12. Mellstrand-Navarro C, Pettersson HJ, Tornqvist H, et al (2014) The operative treatment of fractures of the distal radius is increasing: results from a nationwide Swedish study. Bone Joint J 96-B:963–969

  13. Chung KC, Shauver MJ, Yin H et al (2011) Variations in the use of internal fixation for distal radial fracture in the United States Medicare population. J Bone Joint Surg Am 93:2154–2162

    Article  PubMed  PubMed Central  Google Scholar 

  14. Solvang HW, Nordheggen RA, Clementsen S et al (2018) Epidemiology of distal radius fracture in Akershus, Norway, in 2010–2011. J Orthop Surg Res 13:199

    Article  PubMed  PubMed Central  Google Scholar 

  15. Wareham K, Johansen A, Stone MD et al (2003) Seasonal variation in the incidence of wrist and forearm fractures, and its consequences. Injury 34:219–222

    Article  PubMed  Google Scholar 

  16. Nevitt MC, Cummings SR (1993) Type of fall and risk of hip and wrist fractures: the study of osteoporotic fractures. The Study of Osteoporotic Fractures Research Group. J Am Geriatr Soc 41:1226–1234

  17. Lara Alvarez SE, Bell K, Ward N et al (2019) Seasonality of hip fracture and vitamin D deficiency persists in a sub-tropical climate. Intern Med J 49:1029–1032

    Article  PubMed  Google Scholar 

  18. Pasco JA, Henry MJ, Kotowicz MA et al (2004) Seasonal periodicity of serum vitamin D and parathyroid hormone, bone resorption, and fractures: the Geelong Osteoporosis Study. J Bone Miner Res 19:752–758

    Article  CAS  PubMed  Google Scholar 

  19. Hegeman JH, Oskam J, van der Palen J et al (2004) The distal radial fracture in elderly women and the bone mineral density of the lumbar spine and hip. J Hand Surg Br 29:473–476

    Article  CAS  PubMed  Google Scholar 

  20. Sontag A, Krege JH (2010) First fractures among postmenopausal women with osteoporosis. J Bone Miner Metab 28:485–488

    Article  CAS  PubMed  Google Scholar 

  21. FitzGerald G, Boonen S, Compston JE et al (2012) Differing risk profiles for individual fracture sites: evidence from the Global Longitudinal Study of Osteoporosis in Women (GLOW). J Bone Miner Res 27:1907–1915

    Article  PubMed  Google Scholar 

  22. Rennie L, Court-Brown CM, Mok JY et al (2007) The epidemiology of fractures in children. Injury 38:913–922

    Article  PubMed  Google Scholar 

  23. Hikichi T, Takata M, Horii T et al (2022) Epidemiology of trauma-related paediatric limb fracture using a unique classification: a 10-year retrospective, single-centre study. Injury 53:2074–2080

    Article  PubMed  Google Scholar 

  24. Hagino H, Yamamoto K, Ohshiro H et al (2000) Increasing incidence of distal radius fractures in Japanese children and adolescents. J Orthop Sci 5:356–360

    Article  CAS  PubMed  Google Scholar 

  25. Parfitt AM (1994) The two faces of growth: benefits and risks to bone integrity. Osteoporos Int 4:382–398

    Article  CAS  PubMed  Google Scholar 

  26. Goulding A (2007) Risk factors for fractures in normally active children and adolescents. Med Sport Sci 51:102–120

    Article  PubMed  Google Scholar 

  27. Schalamon J, Dampf S, Singer G et al (2011) Evaluation of fractures in children and adolescents in a Level I Trauma Center in Austria. J Trauma 71:E19–E25

    PubMed  Google Scholar 

  28. Ryan LM, Teach SJ, Searcy K et al (2010) Epidemiology of pediatric forearm fractures in Washington. DC J Trauma 69:S200–S205

    PubMed  Google Scholar 

Download references

Acknowledgements

We would like to thank Prof. Hiroyuki Nakamura, Department of Environmental and Preventive Medicine, Kanazawa University, for his professional assistance in the statistical analysis. We also thank Editage (www.editage.com) for English language editing.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Graduate School of Medical Science, Kanazawa University, 13-1, Takara-Machi, Kanazawa, Ishikawa, 920-8641, Japan

    Mika Akahane, Kaoru Tada, Masashi Matsuta, Yuta Nakamura, Soichiro Honda, Akari Mori & Hiroyuki Tsuchiya

Authors
  1. Mika Akahane
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  2. Kaoru Tada
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  3. Masashi Matsuta
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  4. Yuta Nakamura
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  5. Soichiro Honda
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  6. Akari Mori
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  7. Hiroyuki Tsuchiya
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Contributions

Conceptualization: M Akahane, K Tada; Methodology: M Akahane, K Tada; Formal analysis and investigation: M Akahane, M Matsuta; Writing—original draft preparation: M Akahane; Writing—review and editing: K Tada, M Matsut, Y Nakamura, S Honda, A Mori, H Tsuchiya; Resources: M Akahane, M Matsuta; Supervision: K Tada, H Tsuchiya.

Corresponding author

Correspondence to Mika Akahane.

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The authors declare they have no conflict of interest regarding this research study and paper.

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Akahane, M., Tada, K., Matsuta, M. et al. Seasonal variation of surgically treated distal radius fracture in Japan using inpatient database: cross-sectional study. J Bone Miner Metab 42, 207–213 (2024). https://doi.org/10.1007/s00774-023-01494-z

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  • DOI: https://doi.org/10.1007/s00774-023-01494-z

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