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. 2022 Sep 30;52:101656. doi: 10.1016/j.eclinm.2022.101656

Table 4b.

Incidence rate of fractures, Incidence Rate Ratio (IRR) and distribution of fractures by age and site as recorded in 3-digit ICD10 code in males.

ID males
Non ID males
ICD-10 Code and Term Events N% Rate* (95% CI) Events N% Rate* (95% CI) IRRΔ (95% CI)
1-17 y All fractures 1317
100%
192.5
(182.4–203.2)
6491
100%
228.5
(223.0–234.1)
0.84
(0.79–0.89)
S02
Skull and facial bone
63
4.8%
9.2
(7.2–11.8)
347
5.3%
12.2
(11.0–13.6)
0.75
(0.58–0.99)
S12
Neck
0 0.0 6
0.1%
0.2
(0.1–0.5)
S22
Ribs, sternum and thoracic spine
7
0.5%
1.0
(0.5–2.1)
48
0.7%
1.7
(1.3–2.2)
0.61
(0.27–1.34)
S32
Lumbar spine and pelvis
6
0.5%
0.9
(0.4–2.0)
27
0.4%
1.0
(0.7–1.4)
0.92
(0.38–2.24)
S42
Shoulder and upper arm
151
11.5%
22.1
(18.8–25.9)
704
10.8%
24.8
(23.0–26.7)
0.89
(0.75–1.06)
S52
Forearm§
294
22.3%
43.0
(38.3–48.2)
1705
26.3%
60.0
(57.2–62.9)
0.72
(0.63–0.81)
S62
Wrist§ and hand level
266
20.2%
38.9
(34.5–43.8)
1523
23.5%
53.6
(51.0–56.4)
0.73
(0.64–0.83)
S72
Femur
47
3.6%
6.9
(5.2–9.1)
95
1.5%
3.3
(2.7–4.1)
2.05
(1.45–2.91)
S82
Lower leg including ankle
139
10.6%
20.3
(17.2–24.0)
583
9.0%
20.5
(18.9–22.3)
0.99
(0.82–1.19)
S92
Foot, except ankle
113
8.5%
16.5
(13.7–19.9)
411
6.3%
14.5
(13.1–15.9)
1.14
(0.93–1.41)
T02
Multiple body regions
2
0.2%
0.3
(0.1–1.2)
10
0.2%
0.4
(0.2–0.7)
0.83
(0.18–3.79)
T08
Spine, level unspecified
0 0.0 6
0.1%
0.2
(0.1–0.5)
T10
Upper limb, level unspecified
25
1.9%
3.7
(2.5–5.4)
115
1.8%
4.0
(3.4–4.9)
0.90
(0.59–1.39)
T12
Lower limb, level unspecified
7
0.5%
1.0
(0.5–2.1)
43
0.7%
1.5
(1.1–2.0)
0.68
(0.30–1.50)
M80, T14
Unspecified
197
15.0%
28.8
(25.0–33.1)
868
13.4%
30.6
(28.6–32.7)
0.94
(0.81–1.10)
≥ 18 y All fractures 2280
100%
155.6
(149.3–162.1)
9801
100%
128.4
(125.9–131.0)
1.21
(1.16–1.27)
S02
Skull and facial bone
186
8.2%
12.7
(11.0–14.7)
910
9.3%
11.9
(11.2–12.7)
1.06
(0.91–1.25)
S12
Neck
18
0.8%
1.2
(0.8–1.9)
61
0.62%
0.8
(0.6–1.0)
1.54
(0.91–2.60)
S22
Ribs, sternum and thoracic spine
94
4.1%
6.4
(5.2–7.9)
550
5.6%
7.2
(6.6–7.8)
0.89
(0.72–1.11)
S32
Lumbar spine and pelvis
50
2.2%
3.4
(2.6–4.5)
206
2.1%
2.7
(2.4–3.1)
1.26
(0.93–1.72)
S42
Shoulder and upper arm
230
10.1%
15.7
(13.8–17.9)
746
7.6%
9.8
(9.1–10.5)
1.61
(1.39–1.86)
S52
Forearm§
242
10.6%
16.5
(14.6–18.7)
1025
10.5%
13.4
(12.6–14.3)
1.23
(1.07–1.41)
S62
Wrist§ and hand level
387
17.0%
26.4
(23.9–29.2)
2401
24.5%
31.5
(30.2–32.7)
0.84
(0.75–0.93)
S72
Femur
230
10.1%
15.7
(13.8–17.9)
370
3.8%
4.8
(4.4–5.4)
3.24
(2.75–3.82)
S82
Lower leg including ankle
333
14.6%
22.7
(20.4–25.3)
1205
12.3%
15.8
(14.9–16.7)
1.44
(1.27–1.63)
S92
Foot, except ankle
216
9.5%
14.7
(12.9–16.8)
846
8.6%
11.1
(10.4–11.9)
1.33
(1.15–1.54)
T02
Multiple body regions
6
0.3%
0.4
(0.2–0.9)
23
0.2%
0.3
(0.2–0.5)
1.36
(0.55–3.34)
T08
Spine, level unspecified
13
0.6%
0.9
(0.5–1.5)
34
0.3%
0.4
(0.3–0.6)
1.99
(1.05–3.77)
T10
Upper limb, level unspecified
26
1.1%
1.8
(1.8–2.6)
104
1.1%
1.4
(1.1–1.7)
1.30
(0.85–2.00)
T12
Lower limb, level unspecified
17
0.7%
1.2
(0.7–1.9)
95
1.0%
1.2
(1.0–1.5)
0.93
(0.56–1.56)
M80, T14
Unspecified
232
10.2%
15.8
(13.9–18.0)
1225
12.5%
16.0
(15.2–17.0)
0.99
(0.86–1.14)

Number of fractures/10000 person years (95%CI).

Δ

Incidence rate ratio (95%CI) ID vs non ID group.

§

In ICD-10 the forearm codes include those of the distal forearm, which are those termed as “wrist fractures” in clinical practice and in the fracture risk calculators Frax and QFracture. In ICD-10 the wrist fracture codes relate to the carpal bones (S62.0 scaphoid, S62.1 other and unspecified), which on their own are not termed wrist fractures in clinical practice or included in the fracture risk calculators.