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. 2008 Mar 17;23(8):1334–1342. doi: 10.1359/JBMR.080323

Table 2.

Fractures Observed 1964 Rochester, MN, Resedents After Recognition of Diabetes Mellitus in 1970–1994 Compared With the Numbers expected and SIRs, With 95% CIs

Fracture site Women: all fractures
Men: all fractures
Both sexes: all fractures
Both sexes: nonpathologic, nonincidental moderate trauma fractures
Observed Expected SIR (95% CI) Observed Expected SIR (95% CI) Observed Expected SIR (95% CI) Observed Expected SIR (95% CI)
Skull/face 16 8.0 2.0 (1.2–3.3)* 12 14.5 0.8 (0.4–1.4) 28 22.5 1.2 (0.8–1.8) 20 9.8 2.0 (1.2–3.2)*
Hands/fingers 31 27.8 1.1 (0.8–1.6) 34 30.8 1.1 (0.8–1.5) 65 58.6 1.1 (0.9–1.4) 27 25.9 1.0 (0.7–1.5)
Distal forearm 61 56.6 1.1 (0.8–1.4) 13 13.1 1.0 (0.5–1.7) 74 69.7 1.1 (0.8–1.3) 63 53.5 1.2 (0.9–1.5)
Proximal humerus 53 25.5 2.1 (1.6–2.7)* 18 14.2 1.3 (0.8–2.0) 71 39.7 1.8 (1.4–2.3)* 62 31.8 2.0 (1.5–2.5)*
Other arm 23 19.8 1.2 (0.7–1.8) 14 10.7 1.3 (0.7–2.2) 37 30.4 1.2 (0.9–1.7) 24 21.9 1.1 (0.7–1.6)
Clavicle/scapula/sternum 15 13.0 1.2 (0.6–1.9) 15 14.7 1.0 (0.6–1.7) 30 27.7 1.1 (0.7–1.5) 18 13.8 1.3 (0.8–2.1)
Ribs 72 50.2 1.4 (1.1–1.8)* 78 54.3 1.4 (1.1–1.8)* 150 104 1.4 (1.2–1.7)* 101 72.5 1.4 (1.1–1.7)*
Vertebrae 198 63.4 3.1 (2.7–3.6)* 131 26.2 5.0 (4.2–5.9)* 329 89.6 3.7 (3.3–4.1)* 198 71.0 2.8 (2.4–3.2)*
Pelvis 40 31.3 1.3 (0.9–1.7) 11 9.1 1.2 (0.6–2.2) 51 40.4 1.3 (0.9–1.7) 44 31.9 1.4 (1.0–1.8)
Proximal femur 66 67.0 1.0 (0.8–1.2) 40 28.4 1.4 (1.01–1.9)* 106 95.4 1.1 (0.9–1.3) 92 83.8 1.1 (0.9–1.4)
Other leg 68 66.1 1.0 (0.8–1.3) 40 34.5 1.2 (0.8–1.6) 108 101 1.1 (0.9–1.3) 78 63.8 1.2 (0.97–1.5)
Feet/toes 72 46.8 1.5 (1.2–1.9)* 26 22.1 1.2 (0.8–1.7) 98 68.9 1.4 (1.2–1.7)* 53 20.8 2.5 (1.9–3.3)*
Any fracture 402 317 1.3 (1.2–1.4)* 298 205 1.4 (1.3–1.6)* 700 523 1.3 (1.2–1.4)* 497 386 1.3 (1.2–1.4)*

Note that the number of fractures observed at specific skeletal sites may differ from those reported in Table 1 because only the first fracture of each type per patient was counted in this analysis.

* p < 0.05.