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Injury of nerves at shoulder and upper arm level

ST19_INJURY_NERVES_SHOUL_UPPER_ARM_LEVEL

Endpoint definition

Endpoint definition steps

FinnGen

Phenotype data

520210

1. Apply sex-specific rule

None

520210

2. Check conditions

None

520210

3. Check pre-conditions, main-only, mode, registry filters

Registry filters:

  • Hospital discharge: ICD-10 S44
  • Cause of death: ICD-10 S44

2 out of 7 registries used, show all original rules.

388

4. Check minimum number of events

None

388

5. Include endpoints

None

388

6. Filter based on genotype QC (FinnGen only)

388

Control definitions (FinnGen only)

Control exclude
ST19_INJURI_SHOUL_UPPER_ARM

Extra metadata

Level in the ICD hierarchy
3
First used in FinnGen datafreeze
DF4
Parent code in ICD-10
S4
Name in latin
Laesio nervorum regionis deltoideae/brachii

Case counts by codes

FinnGen case counts by registry codes:

generic upset plot

Upset plot

Full data table

Summary Statistics

-FinRegistry-

This endpoint is excluded from FinRegistry analyses (omitted endpoint).

-FinnGen-

Key figures

All Female Male
Number of individuals 388 178 210
Unadjusted period prevalence (%) 0.08 0.06 0.09
Median age at first event (years) 52.12 49.21 54.59

-FinnGen-

Age distribution of first events

-FinnGen-

Year distribution of first events

-FinnGen-

Cumulative Incidence Function

Not a core endpoint, no data to show.

CodeWAS (R11)

CodeWAS is a tool for exploring the associations between an endpoint and all of the medical codes and drug codes.

This is a new tool, please reach out using the contact form for feedback and improvement ideas.

First, a cohort is built by matching controls to the endpoint cases using year of birth and sex. Then, a Fisher test is done for all the medical codes and drug codes between the cases and controls of this cohort. Codes are reported in the table below if they have −log10(p-value) ≥ 6.

Matched cohort

Matched cases
348
Matched controls
3478
Code
Vocabulary
Description
Odds Ratio
-log10(p)
N matched cases
N matched controls
S44.2
ICD-10 Finland
Injury of radial nerve at upper arm level
+∞
101.1
92
*
S43.0
ICD-10 Finland
Dislocation of shoulder joint
153.3
71.0
73
6
S44.7
ICD-10 Finland
Injury of multiple nerves at shoulder and upper arm level
+∞
62.4
58
*
S44.9
ICD-10 Finland
Injury of unspecified nerve at shoulder and upper arm level
+∞
53.5
50
*
S44.8
ICD-10 Finland
Injury of other nerves at shoulder and upper arm level
+∞
52.4
49
*
X59
ICD-10 Finland
Exposure to unspecified factor
7.0
48.6
143
315
S44.3
ICD-10 Finland
Injury of axillary nerve
+∞
42.6
40
*
S44.0
ICD-10 Finland
Injury of ulnar nerve at upper arm level
+∞
42.6
40
*
NB1AA
NOMESCO Finland
Shoulder X-ray examination without contrast
17.0
41.3
67
48
S46.0
ICD-10 Finland
Injury of muscle(s) and tendon(s) of the rotator cuff of shoulder
18.2
36.3
57
37
S42.2
ICD-10 Finland
Fracture of upper end of humerus
41.7
35.6
44
12
W01
ICD-10 Finland
Fall on same level from slipping, tripping and stumbling
4.6
35.1
158
532
S44.1
ICD-10 Finland
Injury of median nerve at upper arm level
+∞
31.7
30
*
X58
ICD-10 Finland
Exposure to other specified factors
5.9
31.4
98
216
S14.3
ICD-10 Finland
Injury of brachial plexus
+∞
30.7
29
*
NBJ62
NOMESCO Finland
Internal fixation of fracture of shoulder or upper arm using plate and screws, humerus
317.0
29.2
29
*
S42.3
ICD-10 Finland
Fracture of shaft of humerus
+∞
27.5
26
*
N03AX16
ATC
pregabalin; oral
3.9
24.6
125
439
N02AX02
ATC
tramadol; systemic, rectal
3.0
21.6
190
986
N03AX12
ATC
gabapentin; oral
4.2
21.2
91
271
S42.0
ICD-10 Finland
Fracture of clavicle
58.5
19.2
22
*
NBL00
NOMESCO Finland
Suture or reinsertation of rotator cuff of shoulder
14.1
18.3
31
24
NB6AA
NOMESCO Finland
Humerus X-ray examination
39.0
17.8
22
6
ZXD05
NOMESCO Finland
Urgent procedure
2.8
16.3
139
671
W00
ICD-10 Finland
Fall on same level involving ice and snow
4.5
15.9
60
155
ZXA05
NOMESCO Finland
Left side
3.0
14.8
102
426
R4120
NOMESCO Finland
Occupational therapy
5.5
14.8
45
92
W19
ICD-10 Finland
Unspecified fall
4.4
14.5
55
143
WX700
NOMESCO Finland
Respiratory and circulatory monitoring
3.3
14.0
77
274
N02AA59
ATC
codeine, combinations excl. psycholeptics; systemic
2.3
12.7
177
1074
NB1CG
NOMESCO Finland
Shoulder and humerus extensive MRI examination with high intensity magnet
18.2
12.7
19
11
NBH10
NOMESCO Finland
Reduction of dislocation of humeroscapular joint, closed
134.6
12.5
13
*
NB1BA
NOMESCO Finland
Shoulder extensive X-ray examination without contrast
12.3
12.0
21
18
N06AA09
ATC
amitriptyline; systemic
3.7
11.5
52
158
N02AJ06
ATC
codeine and paracetamol; systemic
2.3
11.3
149
864
NBU20
NOMESCO Finland
Removal of internal fixation device from shoulder or upper arm
113.3
10.5
11
*
ZXE10
NOMESCO Finland
More than one and less than three hours
2.2
10.0
135
781
R4110
NOMESCO Finland
Physiotherapy
2.4
9.9
102
517
M75.1
ICD-10 Finland
Rotator cuff syndrome
2.4
9.7
91
441
NC1AA
NOMESCO Finland
Elbow X-ray examination without contrast
8.8
9.7
20
24
N05BA01
ATC
diazepam; systemic, rectal
2.9
9.6
62
244
S42.4
ICD-10 Finland
Fracture of lower end of humerus
102.7
9.5
10
*
TPH07
NOMESCO Finland
Cathetrisation of artery
3.4
9.5
47
154
ZXE20
NOMESCO Finland
More than three and less than five hours
2.8
9.2
61
243
ZXD35
NOMESCO Finland
Usual procedure
5.5
9.1
26
50
WX408
NOMESCO Finland
General anesthesy, balanced
2.2
9.0
102
542
NBG15
NOMESCO Finland
Acromioplastia, arthroscopic
4.8
8.9
29
65
AA1AD
NOMESCO Finland
CT of head and brain
2.3
8.9
92
468
ZXM10
NOMESCO Finland
Intraoperative use of conventional X-ray imaging
3.9
8.7
35
96
NBF25
NOMESCO Finland
Operation for humeroscapular osteochondritis, arthroscopic
13.2
8.4
14
11
L08
ICPC
Shoulder symptom/complaint
2.5
8.4
72
330
ZZH21
NOMESCO Finland
Graft of patients own bone, small pieces
8.9
8.4
17
20
G56.2
ICD-10 Finland
Lesion of ulnar nerve
5.8
8.1
22
40
QCB05
NOMESCO Finland
Revision of wound of skin of upper limb
17.7
8.1
12
7
ZXD10
NOMESCO Finland
Scheduled procedure
2.0
8.1
133
822
G54.0
ICD-10 Finland
Brachial plexus disorders
5.4
8.0
23
45
WX200
NOMESCO Finland
Interscalenous plexus blockade
8.1
8.0
17
22
N05CF01
ATC
zopiclone; oral
2.0
7.9
120
713
ZXA00
NOMESCO Finland
Right side
2.2
7.9
97
526
NB1AD
NOMESCO Finland
Shoulder CT examination
15.5
7.8
12
8
T92.3
ICD-10 Finland
Sequelae of dislocation, sprain and strain of upper limb
46.0
7.7
9
*
GD1QA
NOMESCO Finland
Supine thorax X-ray examination
2.6
7.7
60
260
N02AA05
ATC
oxycodone; systemic
2.5
7.6
60
265
S43.1
ICD-10 Finland
Dislocation of acromioclavicular joint
81.7
7.4
8
*
NA3AA
NOMESCO Finland
Lumbar spine X-ray examination without contrast
3.1
7.4
39
134
S43.4
ICD-10 Finland
Sprain and strain of shoulder joint
8.7
7.4
15
18
NBJ64
NOMESCO Finland
Internal fixation of fracture of shoulder or upper arm using wire, rod, cerclage or pin, humerus
+∞
7.3
7
*
N02BE01
ATC
paracetamol; systemic, rectal
2.2
7.2
295
2499
Z2446
NOMESCO Finland
Social worker
3.4
7.2
34
108
A02BC03
ATC
lansoprazole; oral
2.0
7.2
107
629
T92.4
ICD-10 Finland
Sequelae of injury of nerve of upper limb
30.7
7.2
9
*
J01FF01
ATC
clindamycin; systemic
2.1
7.2
99
565
N06AX11
ATC
mirtazapine; oral
2.0
7.2
116
702
TQW40
NOMESCO Finland
Remowal of suture of skin
3.6
7.1
31
93
N06AX21
ATC
duloxetine; oral
2.7
7.0
48
195
S49.9
ICD-10 Finland
Unspecified injury of shoulder and upper arm
14.1
6.9
11
8
A02BC02
ATC
pantoprazole; systemic
1.8
6.8
218
1665
V49.9
ICD-10 Finland
Car occupant [any] injured in unspecified traffic accident
4.6
6.8
22
50
Z3226
NOMESCO Finland
Physiotherapist
2.3
6.8
67
331
N02AE01
ATC
buprenorphine; parenteral, sublingual, transdermal
2.7
6.8
44
174
P01AB01
ATC
metronidazole; oral, rectal
1.9
6.8
133
864
T36
ICD-10 Finland
Poisoning by systemic antibiotics
3.6
6.6
28
82
TPH04
NOMESCO Finland
Cathetrisation of vein
2.1
6.5
77
413
TNB31
NOMESCO Finland
Prefabricated orthosis, upper arm or shoulder
71.1
6.4
7
*
Z09.4
ICD-10 Finland
Follow-up examination after treatment of fracture
4.4
6.4
22
53
M01AB05
ATC
diclofenac; systemic, rectal
1.8
6.3
229
1798
S44.4
ICD-10 Finland
Injury of musculocutaneous nerve
+∞
6.3
6
*
G56.8
ICD-10 Finland
Other mononeuropathies of upper limb
27.2
6.3
8
*
T81.9
ICD-10 Finland
Unspecified complication of procedure
6.5
6.2
15
24
GD1PA
NOMESCO Finland
X-ray examination of the lungs in one projection
3.1
6.2
33
115
Z01.8
ICD-10 Finland
Other specified special examinations
2.1
6.2
77
420
M54.4
ICD-10 Finland
Lumbago with sciatica
2.3
6.2
61
300
F10.1
ICD-10 Finland
Mental and behavioural disorders due to use of alcohol, Harmful use
2.9
6.2
36
133
WX402
NOMESCO Finland
General anaesthesia
2.2
6.2
61
301
GD1UA
NOMESCO Finland
Thorax X-ray examination outside radiological department
2.3
6.2
59
287
S06.0
ICD-10 Finland
Concussion
2.6
6.2
43
177
TPH15
NOMESCO Finland
Insertion of central venous catheter through external or internal jugular vein
3.5
6.1
27
82
NB1BG
NOMESCO Finland
Shoulder and humerus MRI examination with high intensity magnet
6.9
6.1
14
21
J01DB01
ATC
cefalexin; oral
1.9
6.1
278
2343
203
Kela drug reimbursment
Chronic asthma and similar chronic obstructive pulmonary diseases
2.1
6.0
72
385
Z3231
NOMESCO Finland
Registered nurse
1.9
6.0
94
558
S60.2
ICD-10 Finland
Contusion of other parts of wrist and hand
3.9
6.0
23
62
Y83
ICD-10 Finland
Surgical operation and other surgical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure
3.0
6.0
32
112

Mortality – FinRegistry

This endpoint is excluded from FinRegistry analyses (omitted endpoint).

Relationships between endpoints

Index endpoint: ST19_INJURY_NERVES_SHOUL_UPPER_ARM_LEVEL – Injury of nerves at shoulder and upper arm level

GWS hits: -

This endpoint is excluded from FinRegistry analyses (omitted endpoint).