Epidemiology of fractures of the humerus at the university college hospital Ibadan

Authors

  • Tolulope O. Ogunrewo Department of Orthopedic Surgery and Trauma, University College Hospital, Ibadan, Oyo State, Nigeria https://orcid.org/0000-0002-5842-8785
  • Mosi J. Balogun Department of Orthopedic Surgery and Trauma, University College Hospital, Ibadan, Oyo State, Nigeria
  • Olugboyega A. Oyewole Department of Orthopedic Surgery and Trauma, University College Hospital, Ibadan, Oyo State, Nigeria
  • Richard A. Omoyeni Department of Orthopedic Surgery and Trauma, University College Hospital, Ibadan, Oyo State, Nigeria
  • Noroudeen Adekiunle Department of Orthopedic Surgery and Trauma, University College Hospital, Ibadan, Oyo State, Nigeria

DOI:

https://doi.org/10.18203/2320-6012.ijrms20231311

Keywords:

Humeral fracture, Incidence, Pattern

Abstract

Background: The humerus is one of the long bones of the upper limb. It may be fractured following traumatic or non-traumatic injury. Humeral shaft fractures account for 1-3% of all fractures. However supracondylar fracture of the humerus is more common amongst children accounting for about 16% of all pediatric fractures. Trauma especially from falls especially in both children and geriatric populations has been known to cause humeral fractures. Other causes had been documented also. This study was aimed at determining the incidence, cause and pattern of humeral fracture in patients who presented to the accident and emergency department of the University College Hospital, Ibadan, Oyo state, Nigeria.

Methods: Patients with radiologically confirmed humeral fractures who presented to the accident and emergency department of the hospital between January 2015 and December 2019 were included in the study. Data was obtained from the electronically stored data at the department of orthopedic surgery and trauma university college hospital Ibadan using a proforma and the data generated was analyzed using Statistical Package for the Social Sciences version 16.

Results: A total of 167 patients with humeral fractures were seen during the study period. Most of these patients are within the age range of 0-15 years. Male to female ratio was 1.7:1. Most humeral fractures were due to fall and the distal humerus was most commonly affected.

Conclusions: Humeral fractures occur in younger people and efforts should be geared towards preventing this trend in younger population.

References

Gosling JA, Harris PF, Humpherson IR, Whitmore I, Willan PLT. Human anatomy: color atlas and text. 3rd edn. Elsevier Health Sciences; 1996:3.2-3.54.

Chen W, Lv H, Liu S, Liu B, Zhu Y, Chen X, et al. National incidence of traumatic fractures in China: a retrospective survey of 512 187 individuals. Lancet Glob Health. 2017;5(8):e807-17.

Donaldson LJ, Cook A, Thomson RG. Incidence of fractures in a geographically defined population. J Epidemiol Community Health. 1990;44(3):241-5.

Sahlin Y. Occurrence of fractures in a defined population: a 1-year study. Injury. 1990;21(3):158-60.

Omoke NI, Ekumankama FO. Incidence and pattern of extremity fractures seen in accident and emergency department of a Nigerian teaching hospital. Niger J Surg. 2020;26(1):28-34.

Babalola OM, Salawu ON, Ahmed BA, Ibraheem GH, Olawepo A, Agaja SB. Epidemiology of traumatic fractures in a tertiary health center in Nigeria. J Orthoped Traumatol Rehabil. 2018;10(2):87.

Ward EF. Fractures of the diaphyseal humerus. Skel Trauma Fract Dislocat Ligament Injur. 1992;2:1177-200.

Mahabier KC, Vogels LM, Punt BJ, Roukema GR, Patka P, Van Lieshout EM. Humeral shaft fractures: retrospective results of non-operative and operative treatment of 186 patients. Injury. 2013;44(4):427-30.

Balfour G, Mooney V, Ashby M. Diaphyseal fractures of the humerus treated with a ready-made fracture. J Bone Joint Surg Am. 1982;64:11-3.

Updegrove GF, Mourad W, Abboud JA. Humeral shaft fractures. Journal of Shoulder and Elbow Surgery. 2018;27(4):e87-97.

Cheng JC, Shen WY. Limb fracture pattern in different pediatric age groups: a study of 3,350 children. J Orthopaed Trauma. 1993;7(1):15-22.

Ji C, Li J, Zhu Y, Liu S, Fu L, Chen W, et al. Assessment of incidence and various demographic risk factors of traumatic humeral shaft fractures in China. Scient Rep. 2019;9(1):1-9.

Caviglia H, Garrido CP, Palazzi FF, Meana NV. Pediatric fractures of the humerus. Clin Orthopaed Rel Res. 2005;432:49-56.

Alomran AK, Bubshait DA, Ali MS. Epidemiology of pediatric fractures and dislocations: Analysis of in-patients. Bahrain Med Bull. 2012;158(693):1-7.

Janmohammadi N, Montazeri M, Akbarnezhad E. The epidemiology of extremity fractures in trauma patients of Shahid Beheshti Hospital, Babol, 2001-2006. Iranian J Emerg Med. 2014;1(1):34-9.

Awasthi B, Raina SK, Kumar N, Sharma V, Kalia S, Thakur L. Pattern of extremity fractures among patients with musculoskeletal injuries: a hospital-based study from North India. J Med Soc. 2016;30(1):35.

Sadat-Ali M, Alomran AS, Azam Q, Al-Sayed HN, Al-Dhafer BA, Kubbara AF, et al. Epidemiology of fractures and dislocations among urban communities of eastern Saudi Arabia. Saudi J Med Med Sci. 2015;3(1):54.

Mahabier KC, Den Hartog D, Van Veldhuizen J, Panneman MJ, Polinder S, Verhofstad MH, et al. Trends in incidence rate, health care consumption, and costs for patients admitted with a humeral fracture in The Netherlands between 1986 and 2012. Injury. 2015;46(10):1930-7.

Kaplan H, Kiral A, Kuskucu MA, Arpacioglu MÖ, Sarioglu A, Rodop O. Report of eight cases of humeral fracture following the throwing of hand grenades. Arch Orthopaed Trauma Surg. 1998;117(1):50-2.

Ogunrewo TO, Oyewole OA, Omoyeni RA, Iken CT, Ogunlade SO. The incidence and pattern of geriatric limb fractures in Ibadan, Nigeria. Int J Res Med Sci. 2020;8:2856-60.

Ogunrewo TO, Oyewole OA, Omoyeni RA, Balogun MJ, Okunola MO. Incidence of pediatric long bone fractures at the university college hospital Ibadan. Int J Res Orthoped. 2020;6:655-9.

El-Menyar A, El-Hennawy H, Al-Thani H, Asim M, Abdelrahman H, Zarour A, et al. Traumatic injury among females: does gender matter? J Trauma Manage Outcomes. 2014;8(1):1-8.

Singer BR, McLauchlan GJ, Robinson CM, Christie J. Epidemiology of fractures in 15000 adults: the influence of age and gender. J Bone Joint Surg.. 1998;80(2):243-8.

Gabell A, Simons MA, Nayak US. Falls in the healthy elderly: predisposing causes. Ergonomics. 1985;28(7):965-75.

Ebrahim S, Kalache A. Epidemiology in old age. London: BMJ publishing group; 1996.

Tinetti ME, Speechley M, Ginter SF. Risk factors for falls among elderly persons living in the community. N Engl J Med. 1988;319(26):1701-7.

Elachi IC, Yongu WT, Kortor JN, Mue DD, Abah RO. Characteristics and outcome of paediatric long bone fractures managed in a university teaching hospital. J BioMed Res Clin Pract. 2018;1(2):124-8.

Rose SH, Melton LJ III, Morrey BF, Ilstrup DM, Riggs BL. Epidemiologic features of humeral fractures. Clin Orthopaed Rel Res. 1982;168:24-30.

Wilkins KE. Fractures and dislocations of the elbow region. Fract Children. 1984;373.

Wessel LM, Günter SM, Jablonski M, Sinnig M, Weinberg AM. Predicting growth patterns after supracondylar fracture of the humerus in childhood. Der Orthopade. 2003;32(9):824-32.

Carson S, Woolridge DP, Colletti J, Kilgore K. Pediatric upper extremity injuries. Pediatr Clin. 2006;53(1):41-67.

Houshian S, Mehdi B, Larsen MS. The epidemiology of elbow fracture in children: analysis of 355 fractures, with special reference to supracondylar humerus fractures. J Orthopaed Sci. 2001;6(4):312-5.

Wang MQ, Youssef T, Smerdely P. Incidence and outcomes of humeral fractures in the older person. Osteopor Int. 2018;29(7):1601-8.

Downloads

Published

2023-04-29

How to Cite

Ogunrewo, T. O., Balogun, M. J., Oyewole, O. A., Omoyeni, R. A., & Adekiunle, N. (2023). Epidemiology of fractures of the humerus at the university college hospital Ibadan. International Journal of Research in Medical Sciences, 11(5), 1503–1508. https://doi.org/10.18203/2320-6012.ijrms20231311

Issue

Section

Original Research Articles