Table of Contents
ISRN Epidemiology
Volume 2013 (2013), Article ID 370340, 6 pages
http://dx.doi.org/10.5402/2013/370340
Clinical Study

The Epidemiology of Fractures Caused by Falls Down Stairs

Royal Infirmary of Edinburgh, Little France, Edinburgh EH16 4SA, UK

Received 9 May 2013; Accepted 5 June 2013

Academic Editors: C. M. Maylahn and J. M. Ramon

Copyright © 2013 Sarah E. Mitchell et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Fractures sustained from a fall down stairs have received little attention in the orthopaedic literature. We have undertaken a study of these fractures to determine their epidemiology and to compare it to that of fractures caused by a standing fall. All new patients presenting with a fracture between July 2007 and June 2008 were prospectively identified. Falls down stairs caused 261 fractures and were the fifth commonest mode of injury in all ages but the second commonest in those aged 65 years or over. Patients in this category were significantly younger than those with a fracture from a standing fall (54.6 yrs versus 64.9 yrs, ). Fractures of the ankle (odds ratio (OR) 1.9, ), talus (OR 3.0, ), calcaneus (OR 9.7, ), midfoot (OR 6.9, ), toe phalanges (OR 12.0, ), scapula (OR 4.6, ), and proximal ulna (OR 2.4, ) were significantly more likely to result from a fall involving stairs. When grouped together, the odds of any foot or ankle fracture resulting from a fall down stairs were approximately double when compared with a fall from standing (OR 2.1, ). There was a trend towards increased fracture incidence from falls down stairs with worsening social deprivation ( , ). A fall down stairs poses a substantial risk of fractures of the foot, ankle, and scapula. When examining patients with this mechanism of injury, these fracture types should be excluded.