DEMOGRAPHIC AND CLINICAL PROFILE OF ADULT PATIENTS WITH SCAPHOID FRACTURES IN POPULATION OF DISTRICT D.I.KHAN, PAKISTAN

GJMS Vol 18, No.2, Apr-Jun 2020 Pub Date : 2020-06-30 DOI:10.46903/GJMS/18.02.847

Muhammad S. Khan, Nusrat Rasheed, Khadim Hussain, Muhammad Zubair Farooq

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Abstract

Background: Scaphoid fractures are common and account for 60-70 % of all carpal fractures. The objectives of this study were to determine the demographic and clinical profiles of adult patients with scaphoid fractures in population of District D.I.Khan, Pakistan. Materials & Methods: This cross-sectional study was conducted in Department of Orthopedics, Gomal Medical College, D.I.Khan, Pakistan from January 2015 to December 2019. Sample size was 40. Demographic variables were sex, age groups and time to presentation in weeks. Research variables were; cause, laterality, site, management options, time to union in months and presence of infection. All variables were categorical and analyzed by count and percentages for sample and as CI at 80% CL for proportion for population using Wilson score for binomial distribution. Results: Forty patients included 34 (85%) men & 16 (15%) women, 24 (60%) in 17-30 and 16 (40%) in age group 31-50 years. Time to presentation was ≤1 week of injury in 19 (47.5%) patients and 21 (52.5%) presented later. Cause was fall on out-stretched hand in 27 (67.5%) and RTA in 13 (32.5%) patients. Right hand was involved in 29 (72.5%), left in 9 (22.5%) while bilateral in 2 (5%) patients. Site of fracture was waist in 24 (60%), proximal pole 11 (27.5%) and distal pole 5 (12.5%) cases. Conservative treatment was done in 7 (17.50%) patients, percutaneous screw fixation 7 (17.50%), open reduction and internal fixation through palmar in 11 (27.50%) and though dorsal 15 (37.50%) cases. Time to union was ≤3 in 7 (17.50%), >3-6 months 29 (72.5%), while >6 months in 4 (10%) patients. Presence of infection was 1/40 (2.38%). Conclusion: Scaphoid fractures are more common in men and younger adults and most are presented within a week of injury. These are caused mostly by fall on outstretched hand, involving right hand and involving waist. Substantial number of cases requires open reduction with internal fixation. Mostly unite in 3-6 months.

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巴基斯坦迪汗地区成年舟状骨骨折患者的人口统计学和临床特征

背景:舟状骨骨折是常见的，占所有腕骨骨折的60- 70%。本研究的目的是确定巴基斯坦d.i.k an地区成年舟状骨骨折患者的人口统计学和临床概况。材料与方法:本横断面研究于2015年1月至2019年12月在巴基斯坦dii khan的Gomal医学院骨科进行。样本量为40。人口统计学变量包括性别、年龄组和以周为单位的演讲时间。研究变量为;病因、侧边性、部位、治疗方案、愈合时间(月)和是否存在感染。所有变量都进行了分类，并通过计数和样本百分比进行了分析，使用Wilson评分进行二项分布的总体比例CI为80% CL。结果:40例患者中，男性34例(85%)，女性16例(15%)，17-30岁24例(60%)，31-50岁16例(40%)。19例(47.5%)患者出现症状的时间≤1周，21例(52.5%)患者出现症状较晚。27例(67.5%)和13例(32.5%)患者的病因是手伸直摔倒。右手受累29例(72.5%)，左手受累9例(22.5%)，双侧受累2例(5%)。骨折部位为腰部24例(60%)，近端骨折11例(27.5%)，远端骨折5例(12.5%)。保守治疗7例(17.50%)，经皮螺钉固定7例(17.50%)，切开复位经掌内固定11例(27.50%)，经背内固定15例(37.50%)。7例(17.50%)患者愈合时间≤3个月，29例(72.5%)患者愈合时间>3-6个月，4例(10%)患者愈合时间>6个月。感染发生率为1/40(2.38%)。结论:舟状骨骨折在男性和年轻人中更为常见，大多数在受伤后一周内出现。这些主要是由伸出的手摔倒引起的，包括右手和腰部。大量病例需要切开复位内固定。多数在3-6个月愈合。

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GJMS Vol 18, No.2, Apr-Jun 2020

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