Background: The primary objective of this study was to examine the incidence of fractures among individuals aged 20-64 years over a 7-year timeframe by utilising an electronic recording system that is integrated with a substantial portion of the Turkish population.
Methods: De-identified health records were acquired from the nationwide personal health recording system. Four age groups were established: 20-34, 35-44, 45-54, and 55-64 years. Incidence rates were further analysed according to sex and age group.
Results: A total of 3,286,991 fractures were recorded in the 7-year time period, with male patients accounting for 62.1% of those cases. The overall fracture incidence rate in the Turkish adult population was 1029/100,000. The incidence rate was 727.44/100,000 for women and 1158.86/100,000 for men (p < 0.001). The age group with the highest number of fractures was 20-34 years with 1337.012 (37.3%) fractures. Wrist fractures (17.46%), finger fractures (14.4%), and foot fractures (11.85%) accounted for 43.7% of all fractures. In women, the incidence of fractures, excluding those of the hand and wrist, increased significantly as the age groups increased (p < 0.05).
Conclusion: Wrist, finger, and foot fractures were found to be the most common fractures among individuals aged 20-64 years. Fracture incidence was highest in men and in the age group of 20-34 years, encompassing individuals who are more active in work and sports.
Keywords: Epidemiology; Fractures; Incidence; Nationwide study.
© 2025. The Author(s).