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. 2021 Sep;2(9):e580–e592. doi: 10.1016/S2666-7568(21)00172-0

Table 2.

Global age-standardised rates of incidence, prevalence, and YLDs of fractures by anatomical site and sex in 2019, and percentage change from 1990 to 2019


Age standardised incidence rate (per 100 000)
Age-standardised prevalence rate (per 100 000)
Age-standardised YLDs rate (per 100 000)
2019 Percentage change, 1990–2019 (%) 2019 Percentage change, 1990–2019 (%) 2019 Percentage change, 1990–2019 (%)
Fractures
Females 1943·6 (1739·7 to 2176·2) −5·4% (−7·1 to −3·9) 4733·5 (4451·4 to 5062·3) −4·5% (−5·4 to −3·6) 272·5 (189·2 to 376·2) −6·5% (−7·7 to −5·4)
Males 2619·8 (2406·1 to 2865·7) −12·0% (−13·6 to −10·4) 6493·6 (6121·8 to 6911·9) −8·0% (−9·1 to −6·9) 364·8 (249·9 to 510·3) −9·5% (−10·7 to −8·3)
Both 2296·2 (2091·1 to 2529·5) −9·6% (−11·1 to −8·1) 5614·3 (5286·1 to 5977·5) −6·7% (−7·6 to −5·7) 319·0 (220·1 to 442·5) −8·4% (−9·5 to −7·2)
Fracture of skull
Females 64·2 (47·9 to 88·3) −12·3% (−21·8 to −7·0) 30·4 (27·0 to 35·5) −0·7% (−4·2 to 2·4) 2·0 (1·4 to 2·9) −1·3% (−5·0 to 2·1)
Males 132·7 (104·8 to 168·6) −15·3% (−21·8 to −10·6) 49·4 (44·1 to 56·4) −4·8% (−7·6 to −1·9) 3·3 (2·2 to 4·8) −5·1% (−8·2 to −1·8)
Both 98·9 (77·1 to 128·5) −14·4% (−21·5 to −9·6) 39·9 (35·7 to 45·8) −3·3% (−6·3 to −0·4) 2·7 (1·8 to 3·9) −3·7% (−6·9 to −0·6)
Fracture of facial bones
Females 93·0 (70·4 to 123·9) −11·2% (−18·4 to −6·5) 19·1 (16·0 to 23·2) −7·8% (−11·8 to −5·2) 1·2 (0·8 to 1·8) −8·0% (−12·6 to −5·1)
Males 183·4 (149·4 to 227·7) −15·3% (−20·3 to −11·6) 35·0 (29·7 to 40·9) −11·4% (−14·7 to −9·0) 2·3 (1·4 to 3·3) −11·5% (−15·0 to −8·8)
Both 138·8 (110·6 to 174·8) −14·0% (−19·6 to −10·2) 27·0 (23·0 to 31·9) −10·2% (−13·8 to −7·9) 1·7 (1·1 to 2·6) −10·4% (−14·1 to −7·8)
Fracture of sternum or fracture of one or more ribs, or both
Females 37·6 (25·5 to 56·3) −2·4% (−6·9 to 2·1) 17·7 (15·6 to 20·3) −4·3% (−5·8 to −2·8) 1·7 (1·1 to 2·4) −4·4% (−6·7 to −2·2)
Males 66·6 (48·9 to 91·6) −6·9% (−10·7 to −2·9) 31·6 (28·3 to 35·8) −8·6% (−10·1 to −7·1) 3·1 (2·1 to 4·3) −8·6% (−10·7 to −6·6)
Both 52·2 (37·9 to 74·2) −5·5% (−9·2 to −1·7) 24·5 (21·9 to 28·1) −7·0% (−8·4 to −5·6) 2·4 (1·6 to 3·4) −7·1% (−8·8 to −5·4)
Fracture of clavicle, scapula, or humerus
Females 218·4 (168·1 to 280·9) −5·8% (−11·1 to −2·6) 83·5 (73·0 to 96·4) −3·4% (−5·6 to −1·8) 2·8 (1·7 to 4·3) −3·6% (−6·0 to −1·7)
Males 277·8 (224·9 to 336·8) −12·7% (−18·5 to −8·7) 102·2 (89·6 to 116·4) −7·6% (−10·5 to −5·3) 3·4 (2·1 to 5·3) −7·8% (−10·7 to −5·4)
Both 249·2 (197·1 to 309·6) −10·0% (−15·4 to −6·4) 93·3 (81·5 to 106·9) −6·0% (−8·5 to −4·2) 3·1 (1·9 to 4·9) −6·2% (−8·9 to −4·2)
Fracture of radius or ulna, or both
Females 388·6 (298·1 to 505·7) −5·0% (−8·9 to −2·4) 76·3 (62·6 to 95·0) −4·5% (−6·8 to −3·0) 2·5 (1·5 to 3·9) −4·6% (−6·6 to −2·9)
Males 401·6 (332·5 to 490·9) −13·1% (−17·1 to −10·3) 82·2 (69·6 to 97·2) −10·4% (−12·7 to −8·6) 2·8 (1·7 to 4·3) −9·9% (−12·0 to −7·8)
Both 396·6 (316·0 to 498·3) −9·5% (−13·4 to −7·0) 79·6 (66·7 to 96·0) −7·9% (−10·1 to −6·4) 2·7 (1·6 to 4·1) −7·7% (−9·6 to −6·2)
Fracture of hand, wrist, or other distal part of hand
Females 175·9 (134·0 to 225·6) −9·0% (−13·6 to −5·8) 225·7 (208·4 to 247·5) −4·7% (−6·3 to −2·6) 2·8 (1·5 to 5·0) −4·9% (−6·4 to −2·5)
Males 314·6 (256·4 to 383·4) −17·0% (−20·3 to −14·4) 362·4 (336·7 to 394·9) −10·2% (−11·9 to −8·2) 4·6 (2·4 to 8·0) −10·2% (−11·8 to −7·7)
Both 246·1 (196·5 to 304·4) −14·4% (−17·9 to −11·7) 293·3 (272·7 to 318·6) −8·2% (−9·6 to −6·0) 3·7 (2·0 to 6·4) −8·2% (−9·6 to −5·9)
Fracture of vertebral column
Females 92·2 (68·4 to 125·3) −5·5% (−14·7 to −0·2) 60·1 (51·5 to 70·9) 1·4% (−2·4 to 3·9) 6·1 (4·1 to 8·7) 0·8% (−3·1 to 3·7)
Males 125·3 (99·2 to 160·1) −11·4% (−19·0 to −6·6) 73·8 (63·3 to 85·5) −2·0% (−5·8 to 0·8) 7·6 (5·1 to 10·6) −2·6% (−6·4 to 0·6)
Both 109·4 (84·4 to 143·7) −9·2% (−17·1 to −4·4) 67·5 (58·0 to 78·6) −0·9% (−4·5 to 1·7) 6·9 (4·7 to 9·7) −1·5% (−5·1 to 1·3)
Fracture of pelvis
Females 70·6 (50·2 to 100·7) −5·3% (−15·1 to 1·5) 200·6 (182·1 to 232·3) −6·0% (−8·5 to −1·4) 34·2 (24·0 to 47·3) −6·1% (−8·5 to −1·6)
Males 81·5 (62·0 to 107·4) −12·8% (−22·6 to −5·1) 261·6 (238·0 to 297·8) −8·7% (−11·4 to −4·3) 45·1 (31·7 to 61·7) −8·8% (−11·3 to −4·8)
Both 76·8 (56·3 to 104·9) −9·7% (−19·5 to −2·7) 231·0 (209·7 to 263·5) −7·6% (−10·0 to −3·4) 39·6 (27·9 to 54·5) −7·7% (−10·0 to −3·5)
Fracture of hip
Females 189·8 (144·2 to 247·2) 2·7% (−3·7 to 6·6) 319·9 (291·1 to 356·2) 7·7% (5·5 to 10·0) 38·4 (26·9 to 51·6) −11·7% (−15·8 to −7·1)
Males 166·2 (133·2 to 205·8) 0·8% (−7·3 to 6·2) 261·4 (237·3 to 293·5) 10·8% (6·6 to 13·8) 33·7 (23·1 to 45·5) −15·3% (−20·5 to −9·7)
Both 182·5 (141·9 to 230·9) 0·4% (−6·4 to 4·6) 298·1 (271·6 to 331·6) 7·5% (4·8 to 9·7) 36·8 (25·5 to 49·6) −14·0% (−18·3 to −9·1)
Fracture of femur, other than femoral neck
Females 166·4 (130·3 to 212·1) −5·0% (−11·5 to −1·0) 490·9 (453·0 to 537·8) 2·3% (0·6 to 4·0) 20·8 (13·9 to 29·6) 1·3% (−0·7 to 3·1)
Males 203·8 (167·0 to 247·1) −9·8% (−16·2 to −5·0) 582·8 (537·4 to 630·6) 1·5% (−0·6 to 3·8) 25·2 (16·9 to 36·0) 0·2% (−2·2 to 2·4)
Both 187·2 (152·2 to 229·2) −8·2% (−14·3 to −3·9) 540·7 (499·2 to 586·7) 1·4% (−0·4 to 3·2) 23·2 (15·5 to 33·0) 0·2% (−2·0 to 2·0)
Fracture of patella, tibia or fibula, or ankle
Females 344·8 (276·0 to 435·5) −4·0% (−7·3 to −1·9) 3029·8 (2811·9 to 3301·8) −6·7% (−7·6 to −5·8) 155·3 (102·1 to 224·9) −6·8% (−7·7 to −5·9)
Males 492·0 (409·8 to 587·7) −9·0% (−12·5 to −6·2) 4355·7 (4073·5 to 4681·0) −10·0% (−11·0 to −9·0) 226·3 (148·4 to 328·2) −10·0% (−11·0 to −8·9)
Both 419·9 (345·8 to 512·0) −7·2% (−10·4 to −5·0) 3683·5 (3434·4 to 3972·1) −8·7% (−9·6 to −7·7) 190·4 (125·0 to 276·9) −8·7% (−9·6 to −7·8)
Fracture of foot bones except ankle
Females 102·2 (73·3 to 138·0) −9·8% (−16·9 to −5·8) 184·1 (166·7 to 209·6) −3·8% (−5·9 to −0·2) 4·5 (2·8 to 7·0) −4·1% (−6·1 to −0·3)
Males 174·2 (134·3 to 222·5) −15·5% (−20·2 to −12·0) 295·9 (270·5 to 326·8) −7·1% (−9·5 to −3·9) 7·4 (4·4 to 11·5) −7·3% (−9·6 to −3·9)
Both 138·7 (104·9 to 182·5) −13·6% (−19·1 to −10·1) 239·3 (219·0 to 267·6) −5·9% (−8·0 to −2·8) 5·9 (3·6 to 9·2) −6·1% (−8·1 to −2·7)

Values in parentheses are 95% uncertainty intervals. Data are given to one decimal place. YLDs=years lived with disability.