Fractures of the metacarpals. A retrospective analysis of incidence and aetiology and a review of the English-language literature

Jonge, J.J. de; Kingma, Johannes; Lei, Berend van der; Klasen, Henk J.

doi:10.1016/0020-1383(94)90127-9

Cited by 88 publications

(53 citation statements)

References 12 publications

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“…A review of metacarpal fracture etiology in the Netherlands found men within the ages of 10-29 to have the highest IR for metacarpal fracture (2.5 %), with an overall male/female ratio of 1.8 [2]. This study involved a 23-year retrospective review of 235,427 emergency department visits, of which 3,858 were metacarpal fractures.…”

Section: Discussionmentioning

confidence: 99%

“…Another study from Amsterdam retrospectively examined all emergency visits in 1996, finding that 19 % of all fracture visits included hand fractures, with 33 % of these being fractures of metacarpal bones [4]. De Jonge et al performed a retrospective analysis of 3,858 metacarpal fractures seen over a 23-year period in a Netherlands-based institution, finding that men aged 10-29 had the highest incidence of metacarpal fractures (2.5 %) [2]. They found that bicycle accidents in particular accounted for the vast majority of metacarpal fractures across all demographic variables in their study, while accidental fall was the mechanism of injury over a bimodal distribution of age groups less than 9 or older than 50 years old.…”

Section: Introductionmentioning

confidence: 99%

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Incidence of Metacarpal Fractures in the US Population

Nakashian

Pointer

Owens

et al. 2012

Hand (New York, N,Y.)

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Background There are scarce data regarding the epidemiology of metacarpal fractures within the US population. The purpose of this study is to report the epidemiology of metacarpal fractures in the USA using the National Electronic Injury Surveillance System Database (NEISS). Methods The NEISS database represents a national probability sample of approximately 100 hospitals in the USA and its territories. The database was queried for metacarpal fractures during the time period [2002][2003][2004][2005][2006]. US census data were used to calculate incidence rate (IR) for various demographic criteria. Results A total of 4,718 metacarpal fractures were identified, representing approximately 160,790 metacarpal fractures. The calculated IR was 13.6 (95 % CI, 13.6-13.67) per 100,000 person-years. The highest IR occurred in the 10-19 age group (IR 38.8; 95 % CI, 38.6-38.9) followed by those 20-29 years of age (IR 28.4; 95 % CI, 28.3-28.5). Metacarpal fractures were found more commonly in males (IR 23; 95 % CI, 22.9-23.1) than females (IR 4.5; 95 % CI, 4.5-4.5), with an incidence rate ratio of 5.08. The most common mechanisms of injury were contact with a wall or door, and falls. The most common setting was in the home, followed by recreational locations. Conclusions The estimated incidence of metacarpal fractures presenting for acute hospital care in the USA is 13.6 per 100,000 person-years. Males in the second and third decades of life sustain this injury most commonly. Metacarpal fractures occur frequently in the home or recreational setting, with contact force as the primary mechanism of injury.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Incidence of Metacarpal Fractures in the US Population

Nakashian

Pointer

Owens

et al. 2012

Hand (New York, N,Y.)

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“…Hand fractures especially to metacarpals and phalanges are the most common and are often neglected as minor injuries which accounts for 15% of the admissions at emergency departments [3] . The incidence was more at the age of 10-40 years with male dominance [4] . The treatment of hand deformities involves development of muscle power, increase in joint range and redevelopment of coordination [5] .…”

Section: Introductionmentioning

confidence: 97%

Management of metacarpal and phalangeal fractures with JESS fixator: A prospective study

Naidu¹

2018

Int. J. Orthop. Sci.

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The human hand architected to show an exceptional movements and is often a most vulnerable to various degree of injuries caused often by road traffic accidents and industrial accidents. Treatment of hand injuries involves in joint range improvement and redevelopment of coordinative movements. Joshi's external stabilizing system (JESS) provides a stable skeletal environment with early tissue healing and immediate active and passive mobilization of the uninjured adjacent joints. This study designed to assess the efficacy of JESS in management of Hand injuries. Study includes 50 patients of both sexes and all age groups with open or close type of hand injuries. All the patients were allowed to complete clinical and radiological assessment before and after surgical procedure along with subsequent follow up. Various types of distractors (30%) were applied because majority fractures were intra-articular and in 18% cases basic and extended hand frames were used. Fixators was removed within 6 weeks and in 68% wounds were healed at that time of fixator removal. Swelling was commonly associated complications in 32% cases. The incidence of non-union and delayed union of fractures was 8%, 10% respectively. At the time of final follow up 62.8% metacarpophalangeal joints, 64% of interphalangeal joints, 63% of proximal metacarpophalangeal joints, 63.5% of distal metacarpophalangeal joints and 62% of wrist joints regained their normal movements. In 74% cases grip strength was remains normal. JESS is simple, modular and low expensive. It assists the surgeon in obtaining tissue stabilization, spontaneous revascularization and tissue expansion by gradual and controlled distraction.

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“…The fractured metacarpal included the little finger (19), ring finger (8) and middle finger (2). There were 17 shaft fractures and 12 involved the neck.…”

Section: Resultsmentioning

confidence: 99%

“…Closed treatment has been the mainstay of management of these injuries, but may not be sufficient for the more unstable fractures. Metacarpal shaft fractures are common, accounting for around 36% of all hand fractures [1][2][3]. Uncorrected bony deformity or stiffness resulting from a metacarpal shaft fracture can produce a significant functional or cosmetic deficit.…”

Section: Introductionmentioning

confidence: 99%