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. 2021 Oct 8;118(40):665–669. doi: 10.3238/arztebl.m2021.0238

eTable 2. Incidence of fractures in 2019, subdivided according to anatomical site.

Anatomical site Total Incidence per 100 000 inhabitants Change from 2009 to 2019 Ratio female/male Incidence female/ male Ratio < 70 years/ ≥ 70 years Incidence < 70 years/ ≥ 70 years
Total 688 403 1014.4 + 14% 64/36 1262.5/754.7 41/59 519.4/3059.3
Shoulder and upper arm
Clavicle 22 752 33.5 + 44% 30/70 19.7/48.0 82/18 34.3/30.5
Scapula 3364 5.0 + 31% 38/62 3.7/6.3 64/36 3.9/9.2
Proximal humerus 61 606 90.8 + 10% 75/25 133.4/46.1 38/62 42.9/288.4
Shaft of humerus 12 368 18.2 + 14% 68/32 24.3/10.7 43/57 9.6/53.7
Distal humerus 7192 10.6 + 9% 71/29 14.8/6.2 42/58 5.6/31.3
Lower arm
Proximal ulna 10 554 15.6 + 13% 66/34 20.1/10.8 54/46 10.3/37.1
Shaft of ulna 2798 4.1 + 15% 54/46 4.3/3.9 70/30 3.6/6.3
Proximal radius 8423 12.4 + 19% 58/42 14.1/10.7 87/13 13.3/8.6
Shaft of radius 2877 4.2 – 6% 58/42 4.8/3.7 65/35 3.4/7.6
Distal radius 72 087 106.2 – 3% 78/22 162.7/47.0 57/43 75.0/235.4
Hand and wrist
Scaphoid 1551 2.3 – 17% 25/75 1.1/3.5 92/8 2.6/0.9
Carpal and metacarpal bones 8412 12.4 + 9% 31/69 7.5/17.5 82/18 12.6/11.6
Spine and thorax
Lumbar spine 47 874 70.5 + 21% 62/38 85.0/55.5 32/68 28.1/254.7
Cervical spine 11 179 16.5 + 94% 48/52 15.5/17.5 30/70 6.1/59.3
Thoracic spine 28 057 41.3 + 32% 64/36 51.4/30.8 35/65 18.1/137.4
Sternum 3134 4.6 + 15% 55/44 5.0/4.2 53/47 3.1/11.1
Multiple ribs 31 499 46.4 + 40% 43/57 38.7/54.5 39/61 22.2/146.4
Rib 7355 10.8 + 5% 46/54 9.6/12.1 42/58 5.7/32.1
Femur and pelvis
Femur femoral neck 81 570 120.2 + 23% 68/32 157.3/81.3 18/82 26.2/508.2
Femur pertrochanteric 73 785 108.7 + 24% 69/31 148.2/67.4 13/87 17.2/486.5
Femur subtrochanteric 13 817 20.4 + 30% 69/31 27.4/13.0 17/83 4.4/86.4
Shaft of femur 13 901 20.5 + 38% 66/34 26.6/14.1 27/73 6.9/76.5
Distal femur 9077 13.4 + 30% 77/23 20.1/6.3 31/69 5.2/47.3
Acetabulum 8142 12.0 + 58% 46/54 10.8/13.3 29/71 4.3/43.9
Pelvis 40 571 59.8 + 39% 81/19 94.4/23.5 17/83 12.5/255.2
Lower leg and ankle
Patella 9590 14.1 0% 68/32 18.7/9.3 49/51 8.5/37.3
Proximal tibia 19 455 28.7 + 9% 63/37 35.0/22.0 71/29 25.3/42.5
Shaft of tibia 9077 13.4 – 22% 40/60 10.4/16.5 83/17 13.8/11.7
Distal tibia 9111 13.5 – 20% 49/51 12.9/14.0 77/23 12.8/15.9
Fibula 1741 2.6 – 10% 50/50 2.5/2.8 65/35 2.1/4.6
Medial malleolus 3235 4.8 – 6% 43/57 4.0/5.6 79/21 4.7/5.0
Lateral malleolus 33 226 49.0 – 20% 56/44 53.6/44.1 76/24 46.0/61.2
Foot
Calcaneus 6010 8.9 – 16% 30/70 5.2/12.7 84/16 9.3/7.1
Talus 1266 1.9 + 3% 34/66 1.2/2.5 92/8 2.1/0.7
Tarsal bones 1191 1.8 + 28% 43/57 1.5/2.1 87/13 1.9/1.2
Metatarsal bones 10 567 15.6 + 11% 56/44 17.0/14.0 81/19 15.6/15.5