High Risk of Hip and Spinal Fractures after Distal Radius Fracture: A Longitudinal Follow-Up Study Using a National Sample Cohort.

Hyo-Geun Choi,Doo-Sup Kim,Jung-Woo Lee,Bumseok Lee,Hyun Youk

doi:10.3390/ijerph18147391

Abstract

The purpose of the present study was to estimate the risk of hip and spinal fracture after distal radius fracture. Data from the Korean National Health Insurance Service—National Sample Cohort were collected between 2002 and 2013. A total of 8013 distal radius fracture participants who were 50 years of age or older were selected. The distal radius fracture participants were matched for age, sex, income, region of residence, and past medical history in a 1:4 ratio with control participants. In the subgroup analysis, participants were stratified according to age group (50–59, 60–69, or ≥70 years) and sex (male or female). Distal radius fracture patients had a 1.51-fold and 1.40-fold higher incidence of hip fracture and spinal fracture in the adjusted models, respectively. Among males, patients of all ages had a significantly higher incidence of hip fracture, and those who were 50 to 69 years of age had a significantly higher incidence of spinal fracture. Among females, those older than 70 years had a significantly higher incidence of hip fracture, and patients of all ages had a significantly higher incidence of spinal fracture. Previous distal radius fracture has a significant impact on the risk of subsequent hip and spinal fractures.

Highlights

Distal radius fracture is one of the most common types of fractures, and the incidence of this fracture appears to be increasing [1]
One cohort study reported that primary wrist fractures were not significantly associated with subsequent hip fractures (adjusted hazard ratio (HR) 1.29; 95% confidence interval (CI) 0.88–1.89, p = 0.19), and the 10-year probability of any recurrent fracture was substantially lower after a primary wrist fracture
The purpose of the present study was to estimate the risk of hip and spinal fractures after distal radius fracture using the National Sample Cohort through a longitudinal follow-up study design

Summary

Introduction

Distal radius fracture is one of the most common types of fractures, and the incidence of this fracture appears to be increasing [1]. Distal radius fracture can be an important cause of mortality or loss of independence in the elderly population. Distal radius fractures are associated with a significant increase in mortality [4,5,6,7,8]. There are inconsistencies among studies regarding the association of distal radius fracture with hip and spinal fractures. One cohort study reported that primary wrist fractures were not significantly associated with subsequent hip fractures (adjusted hazard ratio (HR) 1.29; 95% confidence interval (CI) 0.88–1.89, p = 0.19), and the 10-year probability of any recurrent fracture was substantially lower after a primary wrist fracture

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