Epidemiology of hand fractures at a tertiary care setting in Saudi Arabia
Objectives: To examine the epidemiology of hand fractures including common bones affected, causes, interventions, outcomes, and complications.
Methods: This retrospective records-based study included patients who were admitted to King Saud Medical City, Riyadh, Kingdom of Saudi Arabia, with traumatic metacarpal or phalangeal fractures between January 2016 and September 2017. Carpal fractures, wrist fractures, and all pathological fractures were excluded.
Results: A total of 82 patients (90.2% of them men with an average age of 27.6±13.4 years) with 101 fractures were included. The fifth (25.5%) and first (24.5%) rays were the most commonly affected ones. The fifth finger (27.8%) and first metacarpal (28.9%) were the most commonly affected finger and metacarpal bone. Approximately 32.7% of the fractures were open fractures. The most frequent causes of hand fractures included falls (40.5%), road traffic accidents (20.3%), crushing injuries (9.5%), and machinery injuries (9.5%). Approximately 90.1% of the patients underwent operative interventions including open reduction (50.5%) and closed reduction (34.3%). The majority of fractures (79.2%) healed, and only 14.7% of fractures developed complications.
Conclusion: In this study of hand fractures, patients were predominantly males and the main causes of fractures were falls and road traffic accidents.
Saudi Med J 2019; Vol. 40 (7): 732-736
How to cite this article:
Alhumaid FA, Alturki ST, Alshareef SH, Alobaidan OS, Alhuwaymil AA, Alohaideb NS, Bhatti AZ. Epidemiology of hand fractures at a tertiary care setting in Saudi Arabia. Saudi Med J 2019; 40 (7): 732-736. doi:10.15537/smj.2019.7.24286.
van Onselen EB, Karim RB, Hage JJ, Ritt MJ. Prevalence and distribution of hand fractures. J Hand Surg Br 2003; 28: 491-495.
Chung KC, Spilson SV. The frequency and epidemiology of hand and forearm fractures in the United States. J Hand Surg Am 2001; 26: 908-915.
Mahabir RC, Kazemi AR, Cannon WG, Courtemanche DJ. Pediatric hand fractures: a review. Pediatr Emerg Care 2001; 17: 153-156.
Meals C, Meals R. Hand fractures: a review of current treatment strategies. J Hand Surg Am 2013; 38: 1021-1031; quiz 1031.
Al-Naami MY, Arafah MA, Al-Ibrahim FS. Trauma care systems in Saudi Arabia: an agenda for action. Ann Saudi Med 2010; 30: 50-58.
Abolfotouh MA, Hussein MA, Abolfotouh SM, Al-Marzoug A, Al-Teriqi S, Al-Suwailem A, et al. Patterns of injuries and predictors of inhospital mortality in trauma patients in Saudi Arabia. Open Access Emerg Med 2018; 10: 89-99.
Hokkam E, Gonna A, Zakaria O, El-Shemally A. Trauma patterns in patients attending the Emergency Department of Jazan General Hospital, Saudi Arabia. World J Emerg Med 2015; 6: 48-53.
Mirdad T. Pattern of hand injuries in children and adolescents in a teaching hospital in Abha, Saudi Arabia. J R Soc Promot Health 2001; 121: 47-49.
Sadat-Ali M, Alomran AS, Azam Q, Al-Sayed HN, Al-Dhafer BA, Kubbara AF, et al. Epidemiology of fractures and dislocations among urban communities of eastern Saudi Arabia. Saudi J Med Med Sci 2015; 3: 54-57.
Al-Jasser FS, Mandil AM, Al-Nafissi AM, Al-Ghamdi HA, Al-Qattan MM. Epidemiology of pediatric hand fractures presenting to a university hospital in Central Saudi Arabia. Saudi Med J 2015; 36: 587-592.
Vadivelu R, Dias JJ, Burke FD, Stanton J. Hand injuries in children: a prospective study. J Pediatr Orthop 2006; 26: 29-35.
Minhas SV, Catalano LW 3rd. Comparison of open and closed hand fractures and the effect of urgent operative intervention. J Hand Surg Am 2019; 44: 65.
Tulipan JE, Ilyas AM. Open fractures of the hand: review of pathogenesis and introduction of a new classification system. Orthop Clin North Am 2016; 47: 245-251.
Ketonis C, Dwyer J, Ilyas AM. Timing of debridement and infection rates in open fractures of the hand: A systematic review. Hand (N Y) 2017; 12: 119-126.
Verver D, Timmermans L, Klaassen RA, van der Vlies CH, Vos DI, Schep NWL. Treatment of extra-articular proximal and middle phalangeal fractures of the hand: a systematic review. Strategies Trauma Limb Reconstr 2017; 12: 63-76.
- There are currently no refbacks.
Saudi Medical Journal is copyright under the Berne Convention and the International Copyright Convention. Saudi Medical Journal is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. Electronic ISSN 1658-3175. Print ISSN 0379-5284.