FRACTURES OF THE DISTAL RADIUS IN A NORWEGIAN CITY

During a prospective one-year study (1988) all fractures of the distal radius in people over 20 years old were registered in Bergen, Norway. Six hundred patients with 609 fractures were treated. The incidence was 38/10000 population, and 79% of the fractures occurred in women. The age-specific incidence in women increased rapidly after the menopause and reached a maximum between 60 and 69 years. The incidence for women over 60 years of age is the highest reported. Among women over 50 years the incidence of fractures caused by minor falls varied depending on the season. The mean number of fractures was 3.6 times higher on days when there was snow on the ground compared with days when there was no snow. More than half the distal radial fractures occurred while out walking. Possible strategies to prevent fractures must include prevention of falls, in particular among postmenopausal women on winter days.