Epidemiology and Fracture Patterns of Traumatic Phalangeal Fractures
Background:. Despite the relatively high incidence of phalangeal fractures, there is an imperfect understanding of the epidemiology and anatomical distribution of these fractures. This study describes the patient characteristics, anatomic distribution, and detailed fracture patterns of phalangeal fr...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer
2022-08-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004455 |
| _version_ | 1817997871198240768 |
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| author | Steven P. Moura, MA Mara Z. Meulendijks, MD Anamika Veeramani, BSc Hannah Szapary, BSc Barbara Gomez-Eslava, MD Yannick A. J. Hoftiezer, MD Neal C. Chen, MD Kyle R. Eberlin, MD |
| author_facet | Steven P. Moura, MA Mara Z. Meulendijks, MD Anamika Veeramani, BSc Hannah Szapary, BSc Barbara Gomez-Eslava, MD Yannick A. J. Hoftiezer, MD Neal C. Chen, MD Kyle R. Eberlin, MD |
| author_sort | Steven P. Moura, MA |
| collection | DOAJ |
| description | Background:. Despite the relatively high incidence of phalangeal fractures, there is an imperfect understanding of the epidemiology and anatomical distribution of these fractures. This study describes the patient characteristics, anatomic distribution, and detailed fracture patterns of phalangeal fractures among a large adult cohort in the United States.
Methods:. A retrospective study was performed among patients with phalangeal fractures in the United States between January 2010 and January 2015. Included patients were 18 years old or older and had a diagnosis of a phalangeal fracture. A total of 2140 phalangeal fractures in 1747 patients were included, and a manual chart review was performed to collect epidemiological and radiographic information. Fractures were classified based on location and fracture pattern.
Results:. The median age at the time of injury was 45 years (interquartile range, 30–57), and 65% of patients were men. The small finger had the highest incidence of fractures (26%) followed by the ring finger (24%). Distal and proximal phalanges demonstrated the highest incidence of fractures at 39% each. The dominant hand was affected in 44% of cases. Eighteen percent of fractures were due to a work-related trauma mechanism, and the most common mechanism of injury was blunt trauma (46%).
Conclusion:. This study provides a detailed overview of the anatomic distribution and fracture patterns of phalangeal fractures in an adult US population and, thus, may aid hand surgeons treating these injuries. |
| first_indexed | 2024-04-14T02:44:41Z |
| format | Article |
| id | doaj.art-7615c089102540099950fef032377c8d |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-04-14T02:44:41Z |
| publishDate | 2022-08-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-7615c089102540099950fef032377c8d2022-12-22T02:16:37ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742022-08-01108e445510.1097/GOX.0000000000004455202208000-00002Epidemiology and Fracture Patterns of Traumatic Phalangeal FracturesSteven P. Moura, MA0Mara Z. Meulendijks, MD1Anamika Veeramani, BSc2Hannah Szapary, BSc3Barbara Gomez-Eslava, MD4Yannick A. J. Hoftiezer, MD5Neal C. Chen, MD6Kyle R. Eberlin, MD7From the * Division of Plastic and Reconstructive Surgery, Boston University School of Medicine, Boston, Mass.‡ Hand and Arm Center, Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, Mass.§ Division of Plastic and Reconstructive Surgery, Harvard Medical School, Boston, Mass.§ Division of Plastic and Reconstructive Surgery, Harvard Medical School, Boston, Mass.‡ Hand and Arm Center, Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, Mass.‡ Hand and Arm Center, Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, Mass.‡ Hand and Arm Center, Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, Mass.† Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Boston, Mass.Background:. Despite the relatively high incidence of phalangeal fractures, there is an imperfect understanding of the epidemiology and anatomical distribution of these fractures. This study describes the patient characteristics, anatomic distribution, and detailed fracture patterns of phalangeal fractures among a large adult cohort in the United States. Methods:. A retrospective study was performed among patients with phalangeal fractures in the United States between January 2010 and January 2015. Included patients were 18 years old or older and had a diagnosis of a phalangeal fracture. A total of 2140 phalangeal fractures in 1747 patients were included, and a manual chart review was performed to collect epidemiological and radiographic information. Fractures were classified based on location and fracture pattern. Results:. The median age at the time of injury was 45 years (interquartile range, 30–57), and 65% of patients were men. The small finger had the highest incidence of fractures (26%) followed by the ring finger (24%). Distal and proximal phalanges demonstrated the highest incidence of fractures at 39% each. The dominant hand was affected in 44% of cases. Eighteen percent of fractures were due to a work-related trauma mechanism, and the most common mechanism of injury was blunt trauma (46%). Conclusion:. This study provides a detailed overview of the anatomic distribution and fracture patterns of phalangeal fractures in an adult US population and, thus, may aid hand surgeons treating these injuries.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004455 |
| spellingShingle | Steven P. Moura, MA Mara Z. Meulendijks, MD Anamika Veeramani, BSc Hannah Szapary, BSc Barbara Gomez-Eslava, MD Yannick A. J. Hoftiezer, MD Neal C. Chen, MD Kyle R. Eberlin, MD Epidemiology and Fracture Patterns of Traumatic Phalangeal Fractures Plastic and Reconstructive Surgery, Global Open |
| title | Epidemiology and Fracture Patterns of Traumatic Phalangeal Fractures |
| title_full | Epidemiology and Fracture Patterns of Traumatic Phalangeal Fractures |
| title_fullStr | Epidemiology and Fracture Patterns of Traumatic Phalangeal Fractures |
| title_full_unstemmed | Epidemiology and Fracture Patterns of Traumatic Phalangeal Fractures |
| title_short | Epidemiology and Fracture Patterns of Traumatic Phalangeal Fractures |
| title_sort | epidemiology and fracture patterns of traumatic phalangeal fractures |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004455 |
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