Incidence of Metacarpal Fractures in the US Population

Nakashian, Michael N.; Pointer, Lauren; Owens, Brett D.; Wolf, Jennifer Moriatis

doi:10.1007/s11552-012-9442-0

Cited by 99 publications

(87 citation statements)

References 8 publications

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“…Metacarpal fractures are found more commonly in men than women. Contact with a wall or door, and falls are the most frequent mechanisms of injury (Nakashian et al, 2012). 2.6% of all fractures are related to clavicle fractures and they are mostly seen in men (68%).…”

Section: Introductionmentioning

confidence: 99%

Epidemiology of the Upper Extremity Trauma in a Traumatic Center in Iran

Ameri¹,

Ali²,

Ameri³

et al. 2016

GJHS

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Introduction: Orthopedic injuries are the most common types of traumatic injuries and present as fractures of the limbs, pelvis, and vertebrae or lesions in soft tissues, muscles, ligaments, and tendons. The upper limb fractures occur in distal radius and ulna, metacarpals, fingers, scapula, and carpal bones, Proximal, diaphysis, distal humerus, clavicle, proximal ulna and radio and distal humero and humero, radio, ulna, and metacarpo. The objective of this project was to accurately describe the occurrence of injuries of the upper extremity and the mechanisms of such injuries in a representative sample of Iranian population.Method: This prospective case series was performed on the patients admitted to Shafa Yahyaian Hospital through the emergency ward within 6 months. Patients' demographic features, the information about the mechanism of injury in soft tissues, bones and joints which obtained using clinical examination and imaging techniques, also the findings during the surgery were recorded in the information form. All analyses were performed using SPSS software, version 21. The independent t test or Mann-Whitney test and the Chi-square test or Fisher's exact test was used to compare the data. The results were significant at P<0.05. Results:This study was performed on 1287 patients with upper limb fracture. The male and female patients respectively comprised of 998 (77.5%) and 289 (22.5%) subjects. About 113 patients suffered injuries at shoulder joint or its surrounding bones. The most common traumatic mechanisms in this group included falls from the standing position (49.2%), direct hit (19.5%), and then falling down (12.58%). Humerus fractures were observed in 68 patients. There was a significant correlation between humerus fractures and the mechanisms (P=0.000). The patients with traumas around the elbow comprised of 182 individuals. Sex distribution of fractures around the elbow shows a significant correlation between sex and elbow fractures. Forearm fractures were observed in 233 patients, and there was a significant correlation between age groups and forearm fractures. Fractures around the wrist were observed in 333 patients. There was a significant correlation between patients with fractures around the wrist (36.88±23.81 years) and patients without fractures (30.84±18.99 years) around the wrist in terms of the mean age. Hand fractures were observed in 358 patients. There was a significant correlation between hand fractures and sex. Conclusion:The result of the current study which shows the epidemiology of these injuries and how such injuries occur in this area can well help the healthcare planners to design preventive and therapeutic measures.

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Section: Introductionmentioning

confidence: 99%

Epidemiology of the Upper Extremity Trauma in a Traumatic Center in Iran

Ameri¹,

Ali²,

Ameri³

et al. 2016

GJHS

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“…[1] Fractures of the metacarpal shaft occur as a result of axial loading, torsion, or direct falls and are classified as transverse, oblique, or comminuted. [1][2][3][4][5][6][7][8][9] The fractures of all metacarpals from the fixation could be necessary, whereas comminuted fractures with or without segmental bone loss demand restoring and maintaining metacarpal length. [2][3][4]6,11,13,15,20,22,23] Surgical methods include percutaneous or open Kirschner wire fixation, intramedullary fixation, open or percutaneous interfragmentary screw fixation, and external fixation.…”

Section: Introductionmentioning

confidence: 99%

Results of surgical treatment in metacarpal shaft fractures using low profile mini plates

Aykut¹,

Öztürk²,

Özcan

et al. 2015

Ulus Travma Acil Cerrahi Derg

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BACKGROUND: Metacarpal fractures are among the most common fractures of the hand. They may lead to loss of function if treated improperly. These injuries can be treated conservatively. However, if significant shortening, rotational deformity and angulation occur, surgical treatment is required. In this article, results of metacarpal fractures treated with open reduction and internal fixation with mini plates were presented.

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“…They are the second most common fracture to present to an orthopaedic surgeon (after distal radius fractures) with an incidence of 130.3 per 100,000 patients annually (6). The economic burden is particularly high in these patients as they typically affect young and healthy men (7) leading to missed time from work. Isolated metacarpal injuries can result in up to 3 - 6 weeks of missed time with non-operative management alone (8-10).…”

Section: Contextmentioning

confidence: 99%

Metacarpal Neck Fractures: A Review of Surgical Indications and Techniques

et al. 2016

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ContextHand injuries are a common emergency department presentation. Metacarpal fractures account for 40% of all hand fractures and can be seen in the setting of low or high energy trauma. The most common injury pattern is a metacarpal neck fracture. In this study, the authors aim to review the surgical indications for metacarpal neck fractures, the fixation options available along with the risk and benefits of each.Evidence AcquisitionLiterature review of the different treatment modalities for metacarpal neck fractures. Review focuses on surgical indications and the risks and benefits of different operative techniques.ResultsThe indications for surgery are based on the amount of dorsal angulation of the distal fragment. The ulnar digits can tolerate greater angulation as the radial digits more easily lose grip strength. The most widely utilized fixation techniques are pinning with k-wires, dorsal plating, or intramedullary fixation. There is currently no consensus on an optimal fixation technique as surgical management has been found to have a complication rate up to 36%. Plate and screw fixation demonstrated especially high complication rates.ConclusionsMetacarpal neck fractures are a common injury in young and active patients that results in substantial missed time from work. While the surgical indications are well-described, there is no consensus on the optimal treatment modality because of high complication rates. Dorsal plating has higher complication rates than closed reduction and percutaneous pinning, but is necessary in comminuted fractures. The lack of an ideal fixation construct suggests that further study of the commonly utilized techniques as well as novel techniques is necessary.

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Incidence of Metacarpal Fractures in the US Population

Cited by 99 publications

References 8 publications

Epidemiology of the Upper Extremity Trauma in a Traumatic Center in Iran

Epidemiology of the Upper Extremity Trauma in a Traumatic Center in Iran

Results of surgical treatment in metacarpal shaft fractures using low profile mini plates

Metacarpal Neck Fractures: A Review of Surgical Indications and Techniques

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