The distribution of hand fractures: a British perspective

Laugharne, Edward; Bhavsar, Dhruvar; Rajaratnam, Vaikunthan

doi:10.1007/s00238-012-0775-2

Cited by 15 publications

(16 citation statements)

References 5 publications

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“…Fractures of the carpal bones are a public health concern because they occur most commonly in young, working individuals (particularly men), which can lead to loss of earnings, increased disability, impaired quality of life, and a higher risk of subsequent fracture [1][2][3][4][5]. Out of all the carpal bones, the most common fracture occurs at the scaphoid, with 58-89 % of all carpal fractures involving this bone [6].…”

Section: Introductionmentioning

confidence: 98%

Carpal and scaphoid fracture incidence in south-eastern Australia: an epidemiologic study

et al. 2015

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Section: Introductionmentioning

confidence: 98%

Carpal and scaphoid fracture incidence in south-eastern Australia: an epidemiologic study

et al. 2015

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“…Hand fractures and joint injuries are common, [1][2][3] with significant impact on patients, healthcare resources, and the wider economy through lost productivity. 4,5 A priority setting partnership has determined the priorities for future research on hand and wrist conditions, including trauma, as agreed by both patients and clinicians.…”

Section: Introductionmentioning

confidence: 99%

Developing a core outcome set for hand fractures and joint injuries in adults

2023

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AimsThe aim of this study was to develop a core outcome set of what to measure in all future clinical research on hand fractures and joint injuries in adults.MethodsPhase 1 consisted of steps to identify potential outcome domains through systematic review of published studies, and exploration of the patient perspective through qualitative research, consisting of 25 semi-structured interviews and five focus groups. Phase 2 involved key stakeholder groups (patients, hand surgeons, and hand therapists) prioritizing the outcome domains via a three-round international Delphi survey, with a final consensus meeting to agree the final core outcome set.ResultsThe systematic review of 160 studies identified 74 outcome domains based on the World Health Organization International Classification of Functioning, Disability, and Health. Overall, 35 domains were generated through thematic analysis of the patient interviews and focus groups. The domains from these elements were synthesised to develop 37 outcome domains as the basis of the Delphi survey, with a further four generated from participant suggestions in Round 1. The Delphi survey identified 20 outcome domains as ‘very important’ for the core outcome set. At the consensus meeting, 27 participants from key stakeholder groups selected seven outcomes for the core outcome set: pain/discomfort with activity, pain/discomfort with rest, fine hand use/dexterity, self-hygiene/personal care, return to usual work/job, range of motion, and patient satisfaction with outcome/result.ConclusionThis set of core outcome domains is recommended as a minimum to be reported in all clinical research on hand fractures and joint injuries in adults. While this establishes what to measure, future work will focus on determining how best to measure these outcomes. By adopting this patient-centred core outcome set, consistency and comparability of studies will be improved, aiding meta-analysis and strengthening the evidence base for management of these common and impactful injuries.Cite this article: Bone Jt Open 2023;4(2):87–95.

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“…[1][2][3][4] They usually affect young adult males, often in the third decade of life, 1 5 with the fourth and fifth metacarpal most commonly injured. [1][2][3][4][5][6] In 2016, there were 23.5 million accident and emergency (A&E) department attendances in the UK with fractures being the second most common reason for presentation. 7 As hand fractures make up 25% of all A&E attendances 8 and MSF comprise 18%-31% of hand fractures, [1][2][3][4] MSF therefore place a significant burden on healthcare resources.…”

Section: Introductionmentioning

confidence: 99%

Protocol for surgical and non-surgical treatment for metacarpal shaft fractures in adults: an observational feasibility study

et al. 2021

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IntroductionMetacarpal shaft fractures (MSF) are common traumatic hand injuries that usually affect young people of working age. They place a significant burden on healthcare resources and society; however, there is a lack of evidence to guide their treatment. Identifying the most beneficial and cost-efficient treatment will ensure optimisation of care and provide economic value for the National Health Service. The aim of this study is to assess the feasibility of a randomised controlled trial comparing surgical and non-surgical treatment for MSF in adults.Methods and analysisThis is a multicentre prospective cohort study, with a nested qualitative study consisting of patient interviews and focus groups, and an embedded factorial randomised substudy evaluating the use of text messages to maximise data collection and participant retention. The outcomes of interest include eligibility, recruitment and retention rates, completion of follow-up, evaluation of primary outcome measures, calculation of the minimal clinically important difference (MCID) for selected outcome measures and establishing the feasibility of data collection methods and appropriate time-points for use in a future trial. Data will be captured using a secure online data management system. Data analyses will be descriptive and a thematic inductive analysis will be used for qualitative data. Minimum clinically important effects for each patient-reported outcome measure will be estimated using anchor-based responsiveness statistics and distribution-based methods.Ethics and disseminationThis study has received ethical approval from the Research Ethics Committee and the Health Research Authority (REC reference 20/EE/0124). Results will be made available to patients, clinicians, researchers and the funder via peer-reviewed publications and conference presentations. Social media platforms, local media and feedback from the Patient Advisory Group will be used to maximise circulation of findings to patients and the public.Trial registration numberISRCTN13922779.

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The distribution of hand fractures: a British perspective

Cited by 15 publications

References 5 publications

Carpal and scaphoid fracture incidence in south-eastern Australia: an epidemiologic study

Carpal and scaphoid fracture incidence in south-eastern Australia: an epidemiologic study

Developing a core outcome set for hand fractures and joint injuries in adults

Protocol for surgical and non-surgical treatment for metacarpal shaft fractures in adults: an observational feasibility study

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