Epidemiology and patterns of the hand and distal forearm fractures at King Abdul-Aziz Medical City, Riyadh, KSA

AlMugren, Turki S.; Al-Namlah, Abdullah M; Alkubaidan, Fahad O.; AlOtaibi, Humoud; AlZimami, Ibrahim

doi:10.1016/j.jtumed.2015.10.001

Cited by 4 publications

(6 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These data are comparable to those published by Laugharne et al in the United Kingdom (18). The higher incidence of fractures at the level of the 5 th radius is common in all epidemiological studies on fractures of the hand that we consulted (1,2,5,11,13,18,23,25,27,29,30). However, most of them report higher incidences at the level of the phalanges (5,13,27,29,30).…”

Section: Discussionsupporting

confidence: 89%

See 1 more Smart Citation

Epidemiology of Bone Fractures in the Hand in Adult Population Using the ICD-10 Classification

Domínguez-Prado¹,

Ferradas-Garcia²,

Perez-Alfonso³

et al. 2022

ACHOT

View full text Add to dashboard Cite

PURPOSE OF THE STUDYThe purpose of this study was to conduct an epidemiological study of hand fractures in adult population. MATERIAL AND METHODSA retrospective observational study in a population of 470,000 habitants was performed. Over the course of three years, all patients over 16 years of age who were diagnosed with fracture or fracture-dislocation at the level of a carpal bone, metacarpal and/or phalange were included. These fractures were classified according to the International Classification of Diseases 10 th edition (ICD-10). Incidence rates, along with gender and age distribution were also studied. RESULTS1,267 patients with a total of 1,341 hand fractures were included. They represented 29.7% of all upper limb fractures and 7.6% of all traumatological emergencies involving a bone fracture during that period. The most frequent ICD-10 group was S62.3, with the fifth metacarpal as the most often affected bone (39.7%). The most frequent location at the level of the phalanges (S62.5) was the proximal third of the proximal phalanx of the fifth radius. The global incidence rate was 99 fractures per 100,000 persons/year. No seasonal variation was observed. Only 10.2% of hand fractures received surgical treatment. DISCUSSIONSeveral epidemiological studies have been published on fractures in the hand, but none have used the ICD-10 classification. Although the distribution of our stratified sample by age and gender was similar to those previously published, the incidence rate in our study was much lower. We may possibly extrapolate our results to the rest of the Spanish population and even to the rest of the population of southern Europe, given the scarcity of epidemiological studies on this matter in these geographical areas. CONCLUSIONSThe ICD-10 classification is useful for the description and classification of hand fractures. The most often affected group is that including metacarpals of the long fingers (S62.3), being the distal level of the fifth metacarpal in young male patients the most frequent one. Most fractures are treated conservatively and in case of surgical treatment, the preferred surgical techniques include K-wire fixation, interfragmentary compression screws and plate osteosynthesis.

show abstract

Section: Discussionsupporting

confidence: 89%

“…Although several epidemiological studies have been published on fractures at the level of the hand (1,2,5,11,13,18,23,25,27,29,30) none have used the ICD-10 classification. This classification is widely accepted throughout the world and is used primarily for statistical purposes.…”

Section: Discussionmentioning

confidence: 99%

Epidemiology of Bone Fractures in the Hand in Adult Population Using the ICD-10 Classification

Domínguez-Prado¹,

Ferradas-Garcia²,

Perez-Alfonso³

et al. 2022

ACHOT

View full text Add to dashboard Cite

show abstract

“…7 In the study done by Turki et al phalangeal fractures constituted the highest proportion of fractures in the hand also he noted that distal phalanx are more prone to fractures. 8 In our study 43% had right hand bone involvement and 38% had left hand bone involvement. Bilateral hand involvements were extremely less(image 1).…”

Section: Discussionsupporting

confidence: 48%

Metacarpal and Phalangeal Fractures due to Road Traffic Accidents – an Epidemiological Analysis of 37 Cases

Sm¹,

Shetty²

2018

IJCMR

View full text Add to dashboard Cite

Introduction: Hands are very important for daily living with varied functions being carried out from simple to complex. Any trauma which affects the composite tissues of hand may significantly affect the function depending upon the severity of injury. Road traffic accidents are one of the cause of trauma to hand and this study aimed to know the epidemiological patterns of metacarpal and phalangeal fractures in Road Traffic Accidents (R.T.A) and the pattern of surgical procedures done in metacarpal and phalangeal fractures. Material and Methods: This was a retrospective record analysis of 37 cases of metacarpal and phalangeal fractures conducted by Dept of Plastic Surgery at St John's medical college hospital, Bangalore. Records of R.T.A presenting with metacarpal and phalangeal fractures irrespective of age and sex were analysed. The records of pure soft tissue injuries of hand, wrist bones and burns were excluded. Data were analyzed and projected in the form of tables and figures. Results: 37 patients had R.T.A, with a male preponderence of 89% and the mean age was 28 yrs. Right hand bone involvement were seen in 43% with most injuries being open (70%) and multiple fingers with little finger were affected in equal proportions (24%). Predominant surgical procedures done were bony stabilization in 35%, followed by tacking sutures in 27% of pts. Conclusion: The pattern recorded were young males with multiple compound bone fractures with a predominance of little finger involvement.

show abstract

“…Injuries of the hand are most common [3][4][5][6] and are most commonly related to industrial accidents 3,7 which are grievous injuries and leads to permanent disability. 8 Young adults employed in industrial areas are bread winners of the family and it is important to devise preventive measures to avoid such incidents.…”

Section: Discussionmentioning

confidence: 99%

Occupational injuries and hand - An experience of 182 cases

Mashalkar

Shetty²

2022

JSAS

View full text Add to dashboard Cite

To observe the demography of hand bone fractures and the surgical procedure outcome and to observe the anatomical site of individual metacarpal and phalangeal fractures with machine related injuries.: This is a retrospective record analysis of 182 cases of hand bone fractures associated with occupational related injuries.: Records of traumatic hand bone fractures irrespective of age and sex referred from the emergency dept were reviewed .The records of pure soft tissue injuries of hand and burns were excluded. Data were analyzed and projected in the form of tables and figures. : Cross tabulation for the entire pattern was done, due to many variables statistical significant analysis could not be derived.: There were total 182 cases of which (90%) males, (9%) females and 2 cases where gender was not mentioned. Most of the age group were young adults (15 to 25yrs) with machine contact related injuries. Of machine related injuries, 29% had cutting machine injuries followed by press punching machine (27%). The most common phalanx involved in all categories of occupational injuries was distal phalanx.: Most of the hand bone fractures were noted in the right hand of young males with compound fracture of distal phalanx being more commonly involved; most of them had multiple finger involvement.Cutting and press punching machines caused severe crush injuries, ending up in high number of revision amputation than concrete mixer and heavy objects fall on hand. Hence extra care and safety features with supervision by experts are required while operating these types of machines.Shaft of metacarpal and proximal phalangeal fracture were more commonly involved as per individual site analysis.

show abstract

Epidemiology and patterns of the hand and distal forearm fractures at King Abdul-Aziz Medical City, Riyadh, KSA

Cited by 4 publications

References 7 publications

Epidemiology of Bone Fractures in the Hand in Adult Population Using the ICD-10 Classification

Epidemiology of Bone Fractures in the Hand in Adult Population Using the ICD-10 Classification

Metacarpal and Phalangeal Fractures due to Road Traffic Accidents – an Epidemiological Analysis of 37 Cases

Occupational injuries and hand - An experience of 182 cases

Contact Info

Product

Resources

About