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The primary aim of this study was to report trends in fracture development of the upper extremity in Germany between 2002 and 2017 and to evaluate changes over time.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Methods<\/jats:title>\n<jats:p>Evaluating inpatient data from the German National Hospital Discharge Registry (International Classification of Diseases, ICD-10) between 2002 and 2017. Total count, incidences and percentage changes of the following fracture localizations were analysed: proximal humerus, distal humerus, proximal ulna, proximal radius, ulna diaphysis (including Monteggia lesion) and distal radius. Ten age groups for men and women were formed: 35\u201344, 45\u201354, 55\u201364, 65\u201374; 75\u201384; 85\u201390, and &gt;\u200990 (years).<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Results<\/jats:title>\n<jats:p>The total count of proximal humeral fractures increased from 40,839 (2002, men\/women 9967\/30,872) to 59,545 (2017, men\/women 14,484\/45,061). Distal humeral fractures increased from 5912 (2002, men\/women 1559\/4353) to 6493 (2017, men\/women1840\/4653). The total count of forearm fractures increased from 68,636 (2002, men\/women 17,186\/51,450) to 89,040 (2017, men\/women 20,185\/68,855). Women were affected in 70\u201375% of all cases with rising incidences among nearly every age group in female patients.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Conclusion<\/jats:title>\n<jats:p>Total count of nearly every evaluated fracture increased. Also, incidences increased especially in the older female age groups. Fracture development already seems to reflect demographic changes in Germany.<\/jats:p>\n<\/jats:sec>","DOI":"10.1186\/s13018-020-1580-4","type":"journal-article","created":{"date-parts":[[2020,2,21]],"date-time":"2020-02-21T15:02:44Z","timestamp":1582297364000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Trends in fracture development of the upper extremity in Germany\u2014a population-based description of the past 15\u2009years"],"prefix":"10.1186","volume":"15","author":[{"given":"P.","family":"Hemmann","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P.","family":"Ziegler","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Konrads","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Ellmerer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T.","family":"Klopfer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A. 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