掌骨骨折的流行病学：一项基于瑞典骨折登记18802例骨折的描述性研究

Q3 Medicine

Journal of Hand Surgery Global Online Pub Date : 2025-05-22 DOI:10.1016/j.jhsg.2025.02.015

Jakob Deuschl MD , Henrik Alfort MD , Maria Wilcke MD, PhD

{"title":"掌骨骨折的流行病学：一项基于瑞典骨折登记18802例骨折的描述性研究","authors":"Jakob Deuschl MD , Henrik Alfort MD , Maria Wilcke MD, PhD","doi":"10.1016/j.jhsg.2025.02.015","DOIUrl":null,"url":null,"abstract":"<div><h3>Purpose</h3><div>Hand fractures are common injuries, but there are few large and detailed epidemiological reports describing them.</div></div><div><h3>Methods</h3><div>This study describes the distribution of metacarpal fractures and their impact on patient-reported outcome measures based on 18,802 fractures from the Swedish Fracture Register.</div></div><div><h3>Results</h3><div>The mean age at the time of injury was 39 years (men 33 years and women 52 years). The age distribution for women was bimodal. For men, there was unimodal peaking in early adulthood. Male injuries represented 70% of all metacarpal fractures. In men and children, the most common fracture was a distal extra-articular fracture of the fifth metacarpal, whereas in women, it was a shaft fracture of the fifth metacarpal. Fracture localization differed between metacarpals; 79% of the fractures in the first metacarpal were proximal, compared with 19% to 25% in the other metacarpals. Shaft fractures were the most common in the third and fourth metacarpals, and distal fractures were the most common in the second and fifth metacarpals. The most common cause of injury was a fall. Fractures of the first metacarpal were treated surgically to a greater extent than fractures in the other metacarpals. Men were operated on more often than women (19% vs 14%). Metacarpal fractures did not affect patient-rated hand function or quality of life 1 year after injury.</div></div><div><h3>Conclusions</h3><div>Metacarpal fractures are common and mostly treated nonsurgically and have a minimal effect on patient well-being.</div></div><div><h3>Type of study/level of evidence</h3><div>Therapeutic II.</div></div>","PeriodicalId":36920,"journal":{"name":"Journal of Hand Surgery Global Online","volume":"7 4","pages":"Article 100725"},"PeriodicalIF":0.0000,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The Epidemiology of Metacarpal Fractures: A Descriptive Study Based on 18,802 Fractures From the Swedish Fracture Register\",\"authors\":\"Jakob Deuschl MD , Henrik Alfort MD , Maria Wilcke MD, PhD\",\"doi\":\"10.1016/j.jhsg.2025.02.015\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Purpose</h3><div>Hand fractures are common injuries, but there are few large and detailed epidemiological reports describing them.</div></div><div><h3>Methods</h3><div>This study describes the distribution of metacarpal fractures and their impact on patient-reported outcome measures based on 18,802 fractures from the Swedish Fracture Register.</div></div><div><h3>Results</h3><div>The mean age at the time of injury was 39 years (men 33 years and women 52 years). The age distribution for women was bimodal. For men, there was unimodal peaking in early adulthood. Male injuries represented 70% of all metacarpal fractures. In men and children, the most common fracture was a distal extra-articular fracture of the fifth metacarpal, whereas in women, it was a shaft fracture of the fifth metacarpal. Fracture localization differed between metacarpals; 79% of the fractures in the first metacarpal were proximal, compared with 19% to 25% in the other metacarpals. Shaft fractures were the most common in the third and fourth metacarpals, and distal fractures were the most common in the second and fifth metacarpals. The most common cause of injury was a fall. Fractures of the first metacarpal were treated surgically to a greater extent than fractures in the other metacarpals. Men were operated on more often than women (19% vs 14%). Metacarpal fractures did not affect patient-rated hand function or quality of life 1 year after injury.</div></div><div><h3>Conclusions</h3><div>Metacarpal fractures are common and mostly treated nonsurgically and have a minimal effect on patient well-being.</div></div><div><h3>Type of study/level of evidence</h3><div>Therapeutic II.</div></div>\",\"PeriodicalId\":36920,\"journal\":{\"name\":\"Journal of Hand Surgery Global Online\",\"volume\":\"7 4\",\"pages\":\"Article 100725\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-05-22\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Hand Surgery Global Online\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2589514125000453\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Hand Surgery Global Online","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2589514125000453","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}

引用次数: 0

摘要

目的手部骨折是一种常见的损伤，但很少有大量详细的流行病学报道。方法：本研究基于瑞典骨折登记的18802例骨折，描述了掌骨骨折的分布及其对患者报告结果的影响。结果损伤时平均年龄39岁（男33岁，女52岁）。女性的年龄分布呈双峰分布。对于男性来说，单峰出现在成年早期。男性损伤占所有掌骨骨折的70%。在男性和儿童中，最常见的骨折是第五掌骨的远端关节外骨折，而在女性中，它是第五掌骨的轴骨折。掌骨骨折定位不同；79%的第一掌骨骨折发生在近端，而其他掌骨的骨折发生率为19% - 25%。轴骨折最常见于第三和第四掌骨，远端骨折最常见于第二和第五掌骨。最常见的受伤原因是跌倒。第一掌骨骨折的手术治疗程度大于其他掌骨骨折。男性比女性更常接受手术（19%比14%）。掌骨骨折在伤后1年不影响患者评定的手功能或生活质量。结论掌骨骨折是一种常见的非手术治疗方法，对患者的健康影响很小。研究类型/证据水平：治疗性II。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

The Epidemiology of Metacarpal Fractures: A Descriptive Study Based on 18,802 Fractures From the Swedish Fracture Register

Purpose

Hand fractures are common injuries, but there are few large and detailed epidemiological reports describing them.

Methods

This study describes the distribution of metacarpal fractures and their impact on patient-reported outcome measures based on 18,802 fractures from the Swedish Fracture Register.

Results

The mean age at the time of injury was 39 years (men 33 years and women 52 years). The age distribution for women was bimodal. For men, there was unimodal peaking in early adulthood. Male injuries represented 70% of all metacarpal fractures. In men and children, the most common fracture was a distal extra-articular fracture of the fifth metacarpal, whereas in women, it was a shaft fracture of the fifth metacarpal. Fracture localization differed between metacarpals; 79% of the fractures in the first metacarpal were proximal, compared with 19% to 25% in the other metacarpals. Shaft fractures were the most common in the third and fourth metacarpals, and distal fractures were the most common in the second and fifth metacarpals. The most common cause of injury was a fall. Fractures of the first metacarpal were treated surgically to a greater extent than fractures in the other metacarpals. Men were operated on more often than women (19% vs 14%). Metacarpal fractures did not affect patient-rated hand function or quality of life 1 year after injury.