The Epidemiology of Radial Head Fractures: A Registry-Based Cohort Study
Abstract
1. Introduction
2. Materials and Methods
2.1. Study Design
2.2. Ethics Approval
2.3. Data Sources
2.4. Data Analysis
3. Results
3.1. Demographic and Socioeconomic Characteristics of the Cohort
3.2. Case Characteristics
3.3. Concomitant Injuries
4. Discussion
4.1. Strengths
4.2. Limitations
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Demographic Parameter | Level 1 Trauma Centers | Other Trauma Centers | Total | p-Value † |
---|---|---|---|---|
N = 827 | N = 164 | N = 991 | ||
Sex | <0.001 | |||
Male | 543 (65.7%) | 78 (47.6%) | 621 (62.7%) | |
Female | 284 (34.3%) | 86 (52.4%) | 370 (37.3%) | |
Mean age in years (SD) | 47.7 (19.3) | 53.7 (20.8) | 48.7 (19.7) | <0.001 |
Age group | <0.001 | |||
≤30 years | 206 (24.9%) | 26 (15.9%) | 232 (23.4%) | |
31–50 years | 261 (31.6%) | 47 (28.7%) | 308 (31.1%) | |
51–70 years | 247 (29.9%) | 47 (28.7%) | 294 (29.7%) | |
>70 years | 113 (13.7%) | 44 (26.8%) | 157 (15.8%) | |
Preferred language (Missing = 140) | 0.020 | |||
English | 667 (97.1%) | 153 (93.3%) | 820 (96.4%) | |
Non-English | 20 (2.9%) | 11 (6.7%) | 31 (3.6%) | |
Education level (Missing = 162) | 0.039 | |||
University | 253 (36.2%) | 33 (25.4%) | 286 (34.5%) | |
Diploma | 165 (23.6%) | 36 (27.7%) | 201 (24.2%) | |
Completed high school | 107 (15.3%) | 17 (13.1%) | 124 (15.0%) | |
Other | 174 (24.9%) | 44 (33.8%) | 218 (26.3%) | |
Accessibility * (Missing = 24) | <0.001 | |||
Major cities of Australia | 696 (86.6%) | 128 (78.5%) | 824 (85.2%) | |
Inner regional Australia | 90 (11.2%) | 35 (21.5%) | 125 (12.9%) | |
Outer regional Australia | 18 (2.2%) | 0 (0.0%) | 18 (1.9%) | |
Socioeconomic status ^ (Missing = 24) | <0.001 | |||
1 (Most disadvantaged) | 91 (11.3%) | 36 (22.1%) | 127 (13.1%) | |
2 | 99 (12.3%) | 25 (15.3%) | 124 (12.8%) | |
3 | 117 (14.6%) | 27 (16.6%) | 144 (14.9%) | |
4 | 160 (19.9%) | 40 (24.5%) | 200 (20.7%) | |
5 (Least disadvantaged) | 337 (41.9%) | 35 (21.5%) | 372 (38.5%) | |
Compensable status (Missing = 18) | <0.001 | |||
TAC | 194 (24.0%) | 9 (5.5%) | 203 (20.9%) | |
Worksafe | 47 (5.8%) | 10 (6.1%) | 57 (5.9%) | |
Medicare/overseas eligible | 432 (53.4%) | 114 (69.5%) | 546 (56.1%) | |
Private | 126 (15.6%) | 25 (15.2%) | 151 (15.5%) | |
Others/ineligible | 10 (1.2%) | 6 (3.7%) | 16 (1.6%) | |
Working status prior to injury (Missing = 124) | <0.001 | |||
No | 209 (28.7%) | 60 (42.9%) | 269 (31.0%) | |
Yes | 518 (71.3%) | 80 (57.1%) | 598 (69.0%) | |
Occupation group (Missing = 397) | 0.56 | |||
Managers and Administrators | 61 (11.8%) | 9 (11.5%) | 70 (11.8%) | |
Professionals | 167 (32.4%) | 17 (21.8%) | 184 (31.0%) | |
Trades Persons | 88 (17.1%) | 18 (23.1%) | 106 (17.8%) | |
Clerical/Sales/Service Workers | 74 (14.3%) | 12 (15.4%) | 86 (14.5%) | |
Intermediate Transport and Production Workers | 42 (8.1%) | 8 (10.3%) | 50 (8.4%) | |
Labour and Related Workers | 18 (3.5%) | 5 (6.4%) | 23 (3.9%) | |
Students | 40 (7.8%) | 7 (9.0%) | 47 (7.9%) | |
Others | 26 (5%) | 2 (2.6%) | 28 (4.8%) | |
Charlson Comorbidity Index (CCI) | 0.019 | |||
None | 630 (76.2%) | 108 (65.9%) | 738 (74.5%) | |
CCI = 1 | 147 (17.8%) | 40 (24.4%) | 187 (18.9%) | |
CCI > 1 | 50 (6.0%) | 16 (9.8%) | 66 (6.7%) | |
Isolated | <0.001 | |||
No | 726 (87.8%) | 120 (73.2%) | 846 (85.4%) | |
Yes | 101 (12.2%) | 44 (26.8%) | 145 (14.6%) |
Level 1 Trauma Centers | Other Trauma Centers | Total | p-Value † | |
---|---|---|---|---|
N = 827 | N = 164 | N = 991 | ||
Cause of injury | <0.001 | |||
Motorcycle | 95 (11.5%) | 11 (6.7%) | 106 (10.7%) | |
Pedal cyclist | 147 (17.8%) | 13 (7.9%) | 160 (16.1%) | |
Low fall | 239 (28.9%) | 101 (61.6%) | 340 (34.3%) | |
High fall | 188 (22.7%) | 31 (18.9%) | 219 (22.1%) | |
Other road users * | 94 (11.4%) | 3 (1.8%) | 97 (9.8%) | |
Struck by/with person/object/Other | 64 (7.7%) | 5 (3%) | 69 (6.9%) | |
Activity ^ | <0.001 | |||
Sports | 94 (19.2%) | 22 (21.4%) | 116 (19.6%) | |
Leisure | 58 (11.9%) | 34 (33.0%) | 92 (15.5%) | |
Working for income | 80 (16.4%) | 14 (13.6%) | 94 (15.9%) | |
Other work (unpaid) | 43 (8.8%) | 14 (13.6%) | 57 (9.6%) | |
Personal # | 17 (3.5%) | 5 (4.9%) | 22 (3.7%) | |
Other | 197 (40.3%) | 14 (13.6%) | 211 (35.6%) |
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Kumar, N.; Dipnall, J.F.; Gabbe, B.; Page, R.S.; Ackerman, I.N. The Epidemiology of Radial Head Fractures: A Registry-Based Cohort Study. Trauma Care 2025, 5, 23. https://doi.org/10.3390/traumacare5040023
Kumar N, Dipnall JF, Gabbe B, Page RS, Ackerman IN. The Epidemiology of Radial Head Fractures: A Registry-Based Cohort Study. Trauma Care. 2025; 5(4):23. https://doi.org/10.3390/traumacare5040023
Chicago/Turabian StyleKumar, Narinder, Joanna F. Dipnall, Belinda Gabbe, Richard S. Page, and Ilana N. Ackerman. 2025. "The Epidemiology of Radial Head Fractures: A Registry-Based Cohort Study" Trauma Care 5, no. 4: 23. https://doi.org/10.3390/traumacare5040023
APA StyleKumar, N., Dipnall, J. F., Gabbe, B., Page, R. S., & Ackerman, I. N. (2025). The Epidemiology of Radial Head Fractures: A Registry-Based Cohort Study. Trauma Care, 5(4), 23. https://doi.org/10.3390/traumacare5040023