Managing Hand Fractures: 15 Years’ Experience-from-a Tertiary Care Hospital from Pakistan

Khan, Fahad; Beg, Mirza Shehab Afzal

doi:10.29011/2575-9760.000196

Cited by 1 publication

(1 citation statement)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Coinciding with the literature, the most affected group at this level was the S62.0 group (9,10,13,17,19,22,27). Nevertheless, within the rest of the carpal bones (S62.1) our distribution differs from that cited in other works (15) with the most affected bone being the pyramidal.…”

Section: Discussionsupporting

confidence: 70%

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