The epidemiology of fifth metatarsal fracture surgeries in Japan using nationwide hospital claim database

IF 1.4 4区医学 Q3 ORTHOPEDICS

Journal of Orthopaedic Science Pub Date : 2025-09-01 DOI:10.1016/j.jos.2025.01.005

Takahisa Ogawa , Ryosuke Nishi , Hiroki Ukita , Yuto Nakamura , Hiroaki Omae , Kazuhiko Tsunoda , Jordanna Bergamasco , Kiyohide Fushimi , Toshitaka Yoshii , Atsushi Hasegawa , Naohiro Hio

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引用次数: 0

Abstract

Background

A fifth metatarsal fracture is a common condition with various causes. The epidemiology of this condition is well established in certain populations such as athletes, and people from Western countries, but not in Japan. We aimed to study the epidemiology of fifth metatarsal fracture surgeries in Japan among various age groups from school age to elderly and hypothesized that they are more common in older Japanese patients.

Methods

Data was collected from the Japanese Diagnosis Procedure Combination inpatient database, which is a nationwide database containing discharge abstracts and administrative claims data from over 1500 hospitals in Japan. Patients hospitalized with a primary diagnosis of metatarsal fracture and who underwent open reduction and internal fixation between April 1, 2010, and March 31, 2021 were analyzed.

Results

Overall, a total of 2044 participants, with an average age of 17.93 years and a BMI of 22.63, were included in the analysis. Males exhibited a unimodal distribution, with a peak occurring during their late teens, while females displayed a bimodal distribution, with a peak at the age of 50. Additionally, the incidence of these injuries among both males and females peaked during high school, particularly at the age of 17 years.

Conclusions

The higher prevalence of fifth metatarsal fracture surgeries in elderly females and school age population was observed. This high prevalence may require fracture prevention and early screening. Further studies including patients who undergo conservative treatment are needed.

Levels of evidence

III.

查看原文本刊更多论文

利用全国医院索赔数据库分析日本第五跖骨骨折手术流行病学。

背景：第五跖骨骨折是一种常见的疾病，有多种原因。这种疾病的流行病学已经在某些人群中得到了很好的证实，比如运动员和来自西方国家的人，但在日本没有。我们的目的是研究日本从学龄到老年人不同年龄组的第五跖骨骨折手术的流行病学，并假设它们在老年日本患者中更常见。方法：数据来自日本诊断程序联合住院患者数据库，该数据库是一个全国性数据库，包含日本1500多家医院的出院摘要和行政索赔数据。本研究分析了2010年4月1日至2021年3月31日期间以跖骨骨折为初步诊断并接受切开复位内固定的住院患者。结果：总体而言，共有2044名参与者被纳入分析，平均年龄为17.93岁，BMI为22.63。男性表现为单峰分布，高峰出现在青少年后期，而女性表现为双峰分布，高峰出现在50岁。此外，这些伤害在男性和女性中的发生率在高中期间达到高峰，特别是在17岁时。结论：老年女性和学龄人群第五跖骨骨折手术发生率较高。这种高患病率可能需要骨折预防和早期筛查。需要进一步的研究，包括接受保守治疗的患者。证据等级：III。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Orthopaedic Science 医学-整形外科

CiteScore

3.00

自引率

0.00%

发文量

290

审稿时长

90 days

期刊介绍： The Journal of Orthopaedic Science is the official peer-reviewed journal of the Japanese Orthopaedic Association. The journal publishes the latest researches and topical debates in all fields of clinical and experimental orthopaedics, including musculoskeletal medicine, sports medicine, locomotive syndrome, trauma, paediatrics, oncology and biomaterials, as well as basic researches.