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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 fra...

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Autores principales: Moura, Steven P., Meulendijks, Mara Z., Veeramani, Anamika, Szapary, Hannah, Gomez-Eslava, Barbara, Hoftiezer, Yannick A. J., Chen, Neal C., Eberlin, Kyle R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9351885/
https://www.ncbi.nlm.nih.gov/pubmed/35936823
http://dx.doi.org/10.1097/GOX.0000000000004455
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author Moura, Steven P.
Meulendijks, Mara Z.
Veeramani, Anamika
Szapary, Hannah
Gomez-Eslava, Barbara
Hoftiezer, Yannick A. J.
Chen, Neal C.
Eberlin, Kyle R.
author_facet Moura, Steven P.
Meulendijks, Mara Z.
Veeramani, Anamika
Szapary, Hannah
Gomez-Eslava, Barbara
Hoftiezer, Yannick A. J.
Chen, Neal C.
Eberlin, Kyle R.
author_sort Moura, Steven P.
collection PubMed
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.
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spelling pubmed-93518852022-08-05 Epidemiology and Fracture Patterns of Traumatic Phalangeal Fractures Moura, Steven P. Meulendijks, Mara Z. Veeramani, Anamika Szapary, Hannah Gomez-Eslava, Barbara Hoftiezer, Yannick A. J. Chen, Neal C. Eberlin, Kyle R. Plast Reconstr Surg Glob Open Hand 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. Lippincott Williams & Wilkins 2022-08-04 /pmc/articles/PMC9351885/ /pubmed/35936823 http://dx.doi.org/10.1097/GOX.0000000000004455 Text en Copyright © 2022 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Hand
Moura, Steven P.
Meulendijks, Mara Z.
Veeramani, Anamika
Szapary, Hannah
Gomez-Eslava, Barbara
Hoftiezer, Yannick A. J.
Chen, Neal C.
Eberlin, Kyle R.
Epidemiology and Fracture Patterns of Traumatic Phalangeal Fractures
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
topic Hand
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9351885/
https://www.ncbi.nlm.nih.gov/pubmed/35936823
http://dx.doi.org/10.1097/GOX.0000000000004455
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