Ból palców
Epidemiologia

Ból palców jest powszechnym problemem zdrowotnym, dotykającym około 17% populacji w ciągu miesiąca, z urazami ręki i palców stanowiącymi 6,6-28,6% wszystkich urazów mięśniowo-szkieletowych. Choroba zwyrodnieniowa stawów (ChZS) palców dotyka 6-8% dorosłych w USA, a rocznie odnotowuje się około 1,8 miliona wizyt w oddziałach ratunkowych z powodu urazów ręki, w tym 587 451 wizyt z powodu urazów palców. Najczęstsze mechanizmy urazów to upadki (29-33,56%) i zmiażdżenia (17-22,57%), z przytrzaśnięciem palców drzwiami stanowiącym 26,3% urazów opuszek. Palec trzaskający występuje z roczną częstością 63,09/100 000 osobolat, częściej u kobiet (4,72-krotnie), a zespół cieśni nadgarstka (CTS) ma średnią roczną częstość 360,26/100 000 osobolat, z wyższą częstością u pracowników biurowych intensywnie korzystających z komputera. Choroby zapalne, takie jak reumatoidalne zapalenie stawów, oraz infekcje pochewek ścięgnistych również istotnie przyczyniają się do bólu palców.

Epidemiologia bólu palców

Ból palców jest powszechnym problemem zdrowotnym, który dotyka znaczącą część populacji. Według danych epidemiologicznych, niemal 17% osób doświadczyło bólu ręki w okresie jednego miesiąca, co wskazuje na powszechność tego problemu w populacji ogólnej.1 Urazy ręki i palców stanowią od 6,6% do 28,6% wszystkich urazów układu mięśniowo-szkieletowego, co podkreśla ich znaczenie w praktyce klinicznej.2 Ból i sztywność ręki oraz palców związane z chorobą zwyrodnieniową stawów dotykają około 6-8% dorosłej populacji Stanów Zjednoczonych.3

Wizyty w oddziałach ratunkowych

Roczna liczba wizyt w oddziałach ratunkowych związanych z urazami rąk i palców jest znacząca. W Stanach Zjednoczonych urazy palców odpowiadają za około 587 451 wizyt w oddziałach ratunkowych rocznie, podczas gdy urazy ręki generują około 243 844 wizyt.4 Ogólnie, około 1,8 miliona osób rocznie zgłasza się do oddziałów ratunkowych z powodu urazów ręki.5 Infekcje palców stanowią również istotny problem – w latach 2012-2016 odnotowano 80 519 wizyt na oddziałach ratunkowych w USA z tego powodu, a roczna częstość wzrosła znacząco z 4,4 na 100 000 osobolat w 2012 roku do 6,2 w 2016 roku.6

Przyczyny bólu palców

Urazy palców wynikają z różnych przyczyn, przy czym najczęstszymi są upadki (29-33,56%) oraz urazy zmiażdżeniowe (17-22,57%).78 Szczególnie często występującym mechanizmem urazu jest przytrzaśnięcie palców drzwiami, które stanowi 26,3% wszystkich urazów opuszków palców w niektórych populacjach.9 W przypadku dzieci, zmiażdżenia palców drzwiami są najczęstszą przyczyną urazów palców wymagających hospitalizacji.10

Oprócz urazów mechanicznych, istotną rolę odgrywają schorzenia zapalne i zwyrodnieniowe. Choroba zwyrodnieniowa stawów jest najczęstszą przyczyną postępującej choroby stawów, dotykającą miliony Amerykanów i stanowiącą najczęstszą przyczynę niepełnosprawności w Stanach Zjednoczonych.11

Czynniki ryzyka i różnice płciowe

Występowanie bólu palców wykazuje wyraźne różnice między płciami. Choroba zwyrodnieniowa stawów, będąca częstą przyczyną bólu palców, występuje częściej u kobiet, z szacunkowym stosunkiem kobiet do mężczyzn wynoszącym 10:1 w formie uogólnionej i 12:1 w formie erozyjnej.12 Podobnie reumatoidalne zapalenie stawów, będące inną częstą przyczyną bólu palców, dotyka kobiety trzy razy częściej niż mężczyzn.13

Czynniki ryzyka dla różnych przyczyn bólu palców obejmują:

  • Palec trzaskający (trigger finger) – cukrzyca, otyłość, płeć żeńska oraz zawody wymagające intensywnej pracy rąk14
  • Ostre zapalenie kości i szpiku – wyższa częstość występowania u mężczyzn, wzrost częstości z wiekiem, czynniki ryzyka obejmują cukrzycę i choroby naczyń obwodowych15
  • Zespół cieśni nadgarstka – intensywne używanie komputera, brak przerw w pracy16

Epidemiologia szczególnych jednostek chorobowych

Palec trzaskający (Trigger Finger)

Palec trzaskający jest stosunkowo częstym schorzeniem, występującym 2-6 razy częściej u kobiet niż u mężczyzn. Szczytowa częstość występowania przypada na wiek 55-60 lat.17 Rozpowszechnienie tego schorzenia w populacji ogólnej wynosi około 2%.18 Badania populacyjne wykazały, że roczna częstość występowania palca trzaskającego wynosi 63,09 na 100 000 osobolat, przy czym u kobiet jest ona 4,72 razy wyższa niż u mężczyzn.19

Interesujące jest, że w ciągu ostatnich 10 lat zaobserwowano znaczący spadek rocznej częstości występowania palca trzaskającego (współczynnik częstości występowania [IRR] 0,976; 95% CI, 0,967-0,985; p<0,001), choć jednocześnie zanotowano wzrost jego rozpowszechnienia.20 Odsetek pacjentów poddawanych zabiegom chirurgicznym z powodu palca trzaskającego jest stosunkowo niski i wynosi 5,5%.21

Choroba zwyrodnieniowa stawów palców

Radiologicznie potwierdzona choroba zwyrodnieniowa stawów palców jest istotnym czynnikiem determinującym zarówno utrzymujący się, jak i nowo pojawiający się ból stawów palców w 5-letniej obserwacji wśród kobiet w średnim wieku.22 Częstość występowania i utrzymywania się bólu stawów palców jest wyższa wśród osób z chorobą zwyrodnieniową stawów w porównaniu z osobami bez tej choroby.23

U pacjentów z chorobą zwyrodnieniową stawów obserwuje się zmniejszoną odpowiedź chondrocytów na czynniki wzrostu, które stymulują naprawę stawów po powtarzającym się stresie stawowym.24

Zespół cieśni nadgarstka

Zespół cieśni nadgarstka (CTS) i palec trzaskający są reprezentatywnymi stanami patologicznymi ręki.25 Średnia roczna częstość występowania zespołu cieśni nadgarstka wynosi 360,26 na 100 000 osobolat.26 Badania wykazały, że klinicznie potwierdzona częstość występowania CTS wśród chińskich pracowników biurowych wynosi około 10%, co jest wyższe niż obserwacje w populacji zachodniej.27

Częstość występowania objawów nadgarstka i ręki wśród pracowników biurowych wynosi odpowiednio około 22% i 15%.28 Intensywne korzystanie z komputera i brak przerw w pracy są związane z objawami nadgarstka i ręki, w tym z bólem palców.29

Syndrom Achenbacha

Syndrom Achenbacha (krwiak palca napadowy) dotyka głównie kobiety, z medianą wieku 49,5 lat.30 Ze względu na sporadyczny charakter i łagodny przebieg, dokładne rozpowszechnienie jest trudne do określenia. Chociaż wydaje się to rzadkim zaburzeniem (zgłoszono mniej niż 100 przypadków), może istnieć znacznie więcej przypadków, które nigdy nie były przedmiotem konsultacji medycznej.31 Syndrom ten jest częstszy u kobiet, zazwyczaj w średnim i starszym wieku (30-73 lat).32

Zapalenie pochewki ścięgna

Zapalenie pochewki ścięgna stanowi 2,5-9,4% wszystkich infekcji ręki.33 Zajęcie pochewki ścięgna jest częstą cechą choroby reumatoidalnej ręki, przy czym około 55% pacjentów z reumatoidalnym zapaleniem stawów zgłasza objawy zapalenia pochewki ścięgna, dotykające średnio 3,1 ścięgna.34 Aż 87% pacjentów ma radiologiczne dowody zapalenia pochewki ścięgna w badaniu MRI.35

Guz olbrzymiokomórkowy pochewki ścięgnistej

Typ Częstość występowania Wiek występowania Stosunek K:M Lokalizacja
Zlokalizowany 40 pacjentów/1 milion Czwarta lub piąta dekada życia 2:1 Głównie palce (75%), rzadko duże stawy (10%)
Rozlany 1,8 pacjenta/1 milion w USA Szczyt w trzeciej i czwartej dekadzie życia (średnio 35 lat) Przewaga kobiet Kolano (65%), biodro i kostka (25%), staw łokciowy, ramienny, skroniowo-żuchwowy, kręgosłup
Złośliwy Rzadki Osoby w średnim i starszym wieku (50-60 lat) Często w kończynach dolnych

3637

Urazy palców

Złamania palców są najczęstszymi złamaniami kończyny górnej, jednak brakuje szczegółowych badań epidemiologicznych na ten temat.38 W badaniu opartym na szwedzkim rejestrze złamań zidentyfikowano 21 341 indywidualnych złamań palców, a przeważającą przyczyną urazu był upadek (29%), a następnie uraz zmiażdżeniowy (17%).39

Urazy opuszek palców są jednymi z najczęstszych urazów ręki, ponieważ opuszki palców są narażone w wielu czynnościach życia codziennego.40 Główne przyczyny urazów opuszek to przytrzaśnięcie palców drzwiami (26,3%), urazy maszynowe (23,7%) i wypadki komunikacyjne (18,4%).41

Zespół białego palca wywołany wibracjami

Badanie epidemiologiczne dotyczące zespołu białego palca (VWF) u pracowników amerykańskich używających pneumatycznych narzędzi ręcznych do dłutowania i szlifowania wykazało, że częstość występowania pierwotnej choroby Raynauda w kohorcie wynosiła 2,6%. Czterdzieści siedem procent narażonych pracowników odlewni i 19% narażonych pracowników stoczni miało VWF, przy czym końcówka środkowego palca była w największym stopniu dotknięta drętwieniem, mrowieniem i bieleniem.42

Mediana latencji dla bielenia wynosiła 1,4 roku u pracowników odlewni i 16,5 roku u pracowników stoczni. Nasilenie każdego etapu VWF było istotnie, dodatnio skorelowane z liczbą lat, przez które pracownicy odlewni i stoczni używali narzędzi do dłutowania.43

Nadzór i implikacje dla zdrowia publicznego

Lepsze zrozumienie trendów i prezentacji urazów może kierować profilaktyką urazów w przemyśle, edukacji i zdrowiu publicznym.44 Badania epidemiologiczne mogą identyfikować czynniki ryzyka, grupy ryzyka i opisywać aktualne leczenie konkretnego schorzenia. Ta wiedza może umożliwić lepszą alokację zasobów i bardziej prawidłowe wdrażanie leczenia opartego na dowodach.45

Mimo łatwej dostępności i przystępności cenowej środków zapobiegawczych, nie zaobserwowano znaczących różnic w mechanizmie i epidemiologii urazów palców u dzieci między latami 2003-2005 a 2010-2012.46 Wskazuje to na potrzebę wzmocnienia edukacji publicznej na temat stosowania środków bezpieczeństwa, w tym modyfikacji drzwi i środków ostrożności w domu.47

Urazy i schorzenia rąk oraz palców potrzebują specjalistycznego leczenia, aby uniknąć powikłań i trwałej niepełnosprawności. Tworzenie krajowych rejestrów mogłoby pomóc w lepszym projektowaniu wytycznych referencyjnych dotyczących urazów ręki i nadgarstka.48 Równocześnie, profilaktyczna działalność rzecznicza na rzecz zdrowia publicznego na rzecz bezpieczniejszego środowiska i miejsca pracy pomogłaby w zmniejszeniu obciążenia związanego z urazami opuszek palców.49

Wnioski i perspektywy

Ból palców stanowi istotny problem zdrowia publicznego, dotykający znaczącą część populacji i prowadzący do licznych wizyt w placówkach opieki zdrowotnej. Epidemiologia tego schorzenia jest złożona i obejmuje różnorodne przyczyny, od urazów mechanicznych po schorzenia zapalne i zwyrodnieniowe. Wyraźne różnice w częstości występowania między płciami, grupami wiekowymi i zawodowymi podkreślają potrzebę ukierunkowanych strategii profilaktycznych i terapeutycznych.

Mimo postępów w zrozumieniu epidemiologii bólu palców, nadal istnieją znaczące luki w wiedzy, szczególnie w zakresie szczegółowych danych epidemiologicznych dotyczących poszczególnych schorzeń w różnych populacjach. Rozwój krajowych rejestrów i dalsze badania w tym zakresie mogą przyczynić się do lepszego zrozumienia tego problemu i opracowania skuteczniejszych strategii profilaktycznych i terapeutycznych.5051

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  1. 10.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Hand & Finger Pain That’s Not Arthritis: 5 Causes | Armor PT
    https://www.allianceptp.com/what-causes-hand-and-finger-pain-thats-not-arthritis/
    Many times, people who feel pain in their hands or fingers assume they have arthritis, especially when they feel a dull, aching and consistent pain. […] A medical study found that almost 17% of people had hand pain during a single one-month period. […] According to the CDC, at least 26% of women and 19% of men have reported having doctor-diagnosed arthritis. […] Despite its prevalence, however, arthritis is not the only condition that can cause hand and finger pain. […] Trigger finger makes it difficult to straighten your finger. […] The stiffness and pain associated with trigger finger can make patients feel that they have arthritis in their hand. […] Once its confirmed that your hand and finger pain isnt caused by arthritis, therapists can start treating the condition you do have. […] Feeling hand and finger pain thats not caused by arthritis? Our specialists at Armor Physical Therapy can provide effective treatment for your pain.
  • #2 Epidemiology of hand and wrist injuries treated in a reference specialty center over a year
    http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S2306-41022021000500429
    Epidemiology of hand and wrist injuries treated in a reference specialty center over a year […] Hand injuries constitute 6.6% to 28.6% of all injuries in the musculoskeletal system. […] We describe the epidemiology of hand and wrist injuries treated over a year in the emergency department of a reference hospital in Mexico City that treats patients with no social security. […] Hand and wrist injuries constituted 8.9% of all emergencies treated in the emergency department of INR-LGII during 2015. […] The most common injuries were fractures, contusions and sprains. […] Hand and wrist injuries are common. There is currently not enough epidemiological data on non-laboring hand injuries in Mexico or the world. […] The epidemiology of hand and wrist injuries is not well described in Mexico either in the working population or in the non-working population and there is no national registry of hand injuries and subsequent disability.
  • #3 Prolotherapy treatment for hand, thumb, finger pain and stiffness –
    https://caringmedical.com/hand-pain/
    Hand and finger pain and stiffness are common problems that can affect the productivity of those afflicted, especially in regard to their activities of daily living. […] Symptomatic hand pain and stiffness due to osteoarthritis effect approximately 6-8% of the US adult population. […] The prevalence of hand osteoarthritis tends to be higher in women and elderly persons. […] While hand osteoarthritis is a common cause of hand and finger pain and stiffness in older populations, athletic injuries, overuse, and excessive forces are the causes typically associated with younger populations. […] In 2021 there remains a controversy in medicine concerning the accurate diagnosis of these hand and finger injuries. […] The concern is that while an MRI may show a complete rupture of the tendons and ligaments of the hand, thumb and fingers,
  • #4 The Epidemiology of Hand and Finger Lacerations in United States Emergency Departments – PubMed
    https://pubmed.ncbi.nlm.nih.gov/35177285/
    Hand and finger lacerations presenting to U.S. emergency departments (EDs) are common, although the burden of these injuries is not well understood. […] Our aim is to describe the epidemiology and causes of hand and finger lacerations in U.S. EDs. […] Annually, hand and finger lacerations account for 243,844 and 587,451 ED visits, respectively. […] Hand and finger lacerations result in a significant number of ED visits. A better understanding of injury trends and presentations can guide injury prevention in manufacturing, education, and public health.
  • #5 Hand injury – Wikipedia
    https://en.wikipedia.org/wiki/Hand_injury
    About 1.8 million people go to the emergency department each year due to hand injuries.
  • #6
    https://scholars.duke.edu/publication/1534087
    A Nationwide Epidemiological Analysis of Finger Infections Presenting to Emergency Departments in the United States From 2012 to 2016. […] There is a paucity of literature exploring the epidemiology of finger infections presenting to emergency departments (EDs) on a national scale. The purpose of this study was to determine the national incidence of and risk factors for finger infections. […] Over this 5-year period, finger infections accounted for 80 519 visits to EDs in the United States. The annual incidence increased significantly from 4.4 per 100 000 person-years in 2012 to 6.2 in 2016. […] We have demonstrated a rising incidence of finger infections presenting to EDs, with 40- to 59-year-old patients most at risk.
  • #7 Finger fractures: Epidemiology and treatment based on 21341 fractures from the Swedish Fracture register | PLOS One
    https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0288506
    21 341 individual finger fractures were identified in the registry. […] The predominant cause of injury was a fall (29%) followed by crush injury (17%). […] The incidence in the VG-region from 2015 to 2019 ranged from 6.6 to 9.3 per 104 PYR. […] Based on the extensive registry data from the SFR this study presents detailed epidemiological information about finger fractures that can be used as a point of reference in clinical work and for future studies.
  • #8 Epidemiology of hand and wrist injuries treated in a reference specialty center over a year
    http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S2306-41022021000500429
    The aim of this study was to describe the epidemiology of hand and wrist injuries treated in the ED of a high specialty reference medical facility over a year. […] The most common injuries reported worldwide are lacerations. […] The most common injury mechanism was a fall (33.56%) followed by blunt trauma (22.57%). […] Hand injuries constitute a high percentage of injuries treated in emergency departments worldwide. […] There is little information on the epidemiology of hand injuries in Mexico. […] Hand and wrist injuries need to receive specialized treatment to avoid complications and permanent disability and the creation of national registries could help better design reference guidelines for hand and wrist injuries in Mexico.
  • #9
    https://www.ajol.info/index.php/eamj/article/view/202788
    Fingertip injuries are one of the most common injuries in the hand, because the fingertips are exposed in many of the activities of daily living. […] A retrospective review of patients with fingertip injuries managed at a tertiary hospital in Nigeria over a 10-year period was done. […] The leading causes of tip injuries were jamming of fingers in doors (26.3%), machines injuries (23.7%) and vehicular accidents (18.4%). […] While accurate diagnosis and appropriate intervention are key in achieving a satisfactory outcome in fingertip injuries, the preventive public health advocacy for safer environment and workplace would help in reducing the burden.
  • #10 Mechanism and epidemiology of paediatric finger injuries at Prince of Wales Hospital in Hong Kong | HKMJ
    https://www.hkmj.org/abstracts/v21n3/237.htm
    Paediatric crushing injury of finger by door can occur even in the presence of adults. Reinforcement of public education on the use of safety measures, including door modification and precautions in the home, should be conducted to prevent such injuries. […] Crushing injury of finger by door is common. […] Crushing injury by door was the major cause of paediatric finger injuries leading to hospital admission in both 2003-2005 and 2010-2012. […] Despite the easy availability and accessibility of these safety devices, there has been no significant change or improvement in terms of incidence and morbidity of children with crushing injury of fingers by door admitted to Prince of Wales Hospital in the 5-year period between 2003-2005 and 2010-2012. […] Crushing injury of finger by door accounts for the most common cause of paediatric finger injury requiring hospitalisation in Hong Kong.
  • #11 Painless Nodules in the Fingers | AAFP
    https://www.aafp.org/pubs/afp/issues/2011/0515/p1203.html
    Osteoarthritis is the most common cause of progressive, arthritic disease. It affects millions of Americans and is the most common cause of disability in the United States. The erosive form of osteoarthritis is more common in women, with an estimated female-to-male ratio of 12:1, whereas the generalized form has a female-to-male ratio of 10:1. […] Patients with osteoarthritis have a decrease in chondrocyte response to growth factors that stimulate joint repair after repetitive joint stress. […] Rheumatoid arthritis is an erosive, inflammatory arthritis that affects women three times more often than men.
  • #12 Painless Nodules in the Fingers | AAFP
    https://www.aafp.org/pubs/afp/issues/2011/0515/p1203.html
    Osteoarthritis is the most common cause of progressive, arthritic disease. It affects millions of Americans and is the most common cause of disability in the United States. The erosive form of osteoarthritis is more common in women, with an estimated female-to-male ratio of 12:1, whereas the generalized form has a female-to-male ratio of 10:1. […] Patients with osteoarthritis have a decrease in chondrocyte response to growth factors that stimulate joint repair after repetitive joint stress. […] Rheumatoid arthritis is an erosive, inflammatory arthritis that affects women three times more often than men.
  • #13 Painless Nodules in the Fingers | AAFP
    https://www.aafp.org/pubs/afp/issues/2011/0515/p1203.html
    Osteoarthritis is the most common cause of progressive, arthritic disease. It affects millions of Americans and is the most common cause of disability in the United States. The erosive form of osteoarthritis is more common in women, with an estimated female-to-male ratio of 12:1, whereas the generalized form has a female-to-male ratio of 10:1. […] Patients with osteoarthritis have a decrease in chondrocyte response to growth factors that stimulate joint repair after repetitive joint stress. […] Rheumatoid arthritis is an erosive, inflammatory arthritis that affects women three times more often than men.
  • #14 Trigger finger | Radiology Reference Article | Radiopaedia.org
    https://radiopaedia.org/articles/trigger-finger?lang=us
    Trigger fingers are a type of stenosing tenosynovitis involving the flexor digitorum superficialis at the level of the A1 pulley. It develops due to repetitive microinjury from frequent flexion-extension movements of the fingers and/or thumb. […] Risk factors include diabetes, obesity, female gender, and occupations with high hand activity.
  • #15 Diagnose on Sight: Post-traumatic Finger Pain Caused by Osteomyelitis
    https://www.aliem.com/diagnose-on-sight-post-traumatic-finger-pain/
    Acute osteomyelitis is an infection of the bone or bone marrow. Most often, osteomyelitis is caused by direct extension of infected adjacent soft tissues, but can also be caused by hematogenous spread. Some epidemiology: […] Higher incidence in men […] Rates increase with age […] Risk factors: diabetes, peripheral vascular disease.
  • #16 Prevalence and risk factors of self-reported wrist and hand symptoms and clinically confirmed carpal tunnel syndrome among office workers in China: a cross-sectional study | BMC Public Health | Full Text
    https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-020-10137-1
    Carpal tunnel syndrome (CTS) is a common cause of pain, numbness and tingling in the wrist and hand region and is associated with repetitive wrist and hand use in office workers. […] This study aimed to investigate the prevalence of wrist/hand symptoms and CTS in office workers in China and to identify associated risk factors. […] The clinically confirmed CTS prevalence was 9.6%. […] The prevalence of wrist and hand symptoms were 22 and 15%, respectively. […] Frequently working in pain was associated with higher odds of CTS. […] The prevalence of work-related clinically confirmed CTS symptoms among young office workers in China is high. […] Intense computer use and no breaks at work are associated with wrist and hand symptoms. […] The highest CTS prevalence of 61% was found among industrial workers mainly using grinding tools, while about 1% of industrial workers with forceful but low repetitive hand use developed CTS.
  • #17 Trigger Finger: Practice Essentials, Anatomy, Pathophysiology
    https://emedicine.medscape.com/article/1244693-overview
    Trigger finger is a relatively common condition and occurs two to six times more frequently in women than in men. […] Several series found the peak incidence of trigger digit to be between the ages of 55 and 60 years. Despite increases in computing activities and repetitive tasks, the age distribution has not changed significantly. As previously mentioned, TF in the pediatric population occurs much less frequently than TF in adults and develops almost exclusively in the thumb.
  • #18 Tenosynovitis: Practice Essentials, Pathophysiology, Etiology
    https://emedicine.medscape.com/article/2189339-overview
    Epidemiology has been reported to account for 2.5-9.4% of all hand infections. […] Trigger finger is a common hand condition, with a reported prevalence of 2% in the general population. […] The incidence of trigger digits has a bimodal distribution, with a peak in childhood and a second peak in middle age. […] Involvement of the tendon sheath is a common feature of rheumatoid hand disease. […] Approximately 55% of patients with RA reported symptoms of tenosynovitis, affecting an average of 3.1 tendons. […] As many as 87% of patients have radiographic evidence of tenosynovitis on MRI. […] The prevalence of psoriatic arthritis among those with psoriasis is between 6% and 41%. […] True tendon involvement in crystalline deposition disorders is rare.
  • #19 :: CIOS :: Clinics in Orthopedic Surgery
    https://ecios.org/DOIx.php?id=10.4055/cios23281
    Carpal tunnel syndrome (CTS) and trigger finger are representative pathologic conditions of the hand. […] Several nationwide, population-based studies have evaluated the epidemiology of CTS. […] The mean annual incidence of CTS was 360.26 per 100,000 person-years and that of trigger finger was 63.09 per 100,000 person-years. […] The annual incidence of CTS (incidence rate ratio [IRR], 0.979; 95% confidence interval [CI], 0.9720.985; p0.001) and trigger finger (IRR, 0.976; 95% CI, 0.9670.985;p0.001) significantly decreased. […] In the past 10 years, the incidence of CTS and trigger finger decreased. […] This study provides insight into the epidemiology of these diseases in an Asian population and may inform estimates of healthcare costs. […] The incidence of trigger finger was 63.09 per 100,000 person-years, and it was higher in women than in men by 4.72 times.
  • #20 :: CIOS :: Clinics in Orthopedic Surgery
    https://ecios.org/DOIx.php?id=10.4055/cios23281
    The annual incidence of CTS (incidence rate ratio [IRR], 0.979; 95% CI, 0.9720.985; p0.001) and trigger finger (IRR, 0.976; 95% CI, 0.9670.985;p0.001) significantly decreased during the study period. […] The portion of patients who had surgery was low for both diseases: 12.0% for CTS and 5.5% for trigger finger. […] During the past 10 years, the incidence of both diseases has decreased significantly, but their prevalence has significantly increased.
  • #21 :: CIOS :: Clinics in Orthopedic Surgery
    https://ecios.org/DOIx.php?id=10.4055/cios23281
    The annual incidence of CTS (incidence rate ratio [IRR], 0.979; 95% CI, 0.9720.985; p0.001) and trigger finger (IRR, 0.976; 95% CI, 0.9670.985;p0.001) significantly decreased during the study period. […] The portion of patients who had surgery was low for both diseases: 12.0% for CTS and 5.5% for trigger finger. […] During the past 10 years, the incidence of both diseases has decreased significantly, but their prevalence has significantly increased.
  • #22 Determinants of incident and persistent finger joint pain during a five-year followup among female dentists and teachers – PubMed
    https://pubmed.ncbi.nlm.nih.gov/21309003/
    Objective: To investigate the association of radiographic finger osteoarthritis (OA), hand use, and lifestyle factors with incident and persistent finger joint pain among female dentists and teachers. […] The incidence and persistence of finger joint pain were higher among the subjects with OA compared to those without OA. […] Radiographic finger joint OA was a significant determinant of both persistent and incident finger joint pain in a 5-year followup among middle-aged women.
  • #23 Determinants of incident and persistent finger joint pain during a five-year followup among female dentists and teachers – PubMed
    https://pubmed.ncbi.nlm.nih.gov/21309003/
    Objective: To investigate the association of radiographic finger osteoarthritis (OA), hand use, and lifestyle factors with incident and persistent finger joint pain among female dentists and teachers. […] The incidence and persistence of finger joint pain were higher among the subjects with OA compared to those without OA. […] Radiographic finger joint OA was a significant determinant of both persistent and incident finger joint pain in a 5-year followup among middle-aged women.
  • #24 Painless Nodules in the Fingers | AAFP
    https://www.aafp.org/pubs/afp/issues/2011/0515/p1203.html
    Osteoarthritis is the most common cause of progressive, arthritic disease. It affects millions of Americans and is the most common cause of disability in the United States. The erosive form of osteoarthritis is more common in women, with an estimated female-to-male ratio of 12:1, whereas the generalized form has a female-to-male ratio of 10:1. […] Patients with osteoarthritis have a decrease in chondrocyte response to growth factors that stimulate joint repair after repetitive joint stress. […] Rheumatoid arthritis is an erosive, inflammatory arthritis that affects women three times more often than men.
  • #25 :: CIOS :: Clinics in Orthopedic Surgery
    https://ecios.org/DOIx.php?id=10.4055/cios23281
    Carpal tunnel syndrome (CTS) and trigger finger are representative pathologic conditions of the hand. […] Several nationwide, population-based studies have evaluated the epidemiology of CTS. […] The mean annual incidence of CTS was 360.26 per 100,000 person-years and that of trigger finger was 63.09 per 100,000 person-years. […] The annual incidence of CTS (incidence rate ratio [IRR], 0.979; 95% confidence interval [CI], 0.9720.985; p0.001) and trigger finger (IRR, 0.976; 95% CI, 0.9670.985;p0.001) significantly decreased. […] In the past 10 years, the incidence of CTS and trigger finger decreased. […] This study provides insight into the epidemiology of these diseases in an Asian population and may inform estimates of healthcare costs. […] The incidence of trigger finger was 63.09 per 100,000 person-years, and it was higher in women than in men by 4.72 times.
  • #26 :: CIOS :: Clinics in Orthopedic Surgery
    https://ecios.org/DOIx.php?id=10.4055/cios23281
    Carpal tunnel syndrome (CTS) and trigger finger are representative pathologic conditions of the hand. […] Several nationwide, population-based studies have evaluated the epidemiology of CTS. […] The mean annual incidence of CTS was 360.26 per 100,000 person-years and that of trigger finger was 63.09 per 100,000 person-years. […] The annual incidence of CTS (incidence rate ratio [IRR], 0.979; 95% confidence interval [CI], 0.9720.985; p0.001) and trigger finger (IRR, 0.976; 95% CI, 0.9670.985;p0.001) significantly decreased. […] In the past 10 years, the incidence of CTS and trigger finger decreased. […] This study provides insight into the epidemiology of these diseases in an Asian population and may inform estimates of healthcare costs. […] The incidence of trigger finger was 63.09 per 100,000 person-years, and it was higher in women than in men by 4.72 times.
  • #27 Prevalence and risk factors of self-reported wrist and hand symptoms and clinically confirmed carpal tunnel syndrome among office workers in China: a cross-sectional study | BMC Public Health | Full Text
    https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-020-10137-1
    The occurrence rates of the wrist and hand symptoms were near 22 and 15% respectively. […] The present study suggests a 10% prevalence of clinically confirmed CTS in Chinese office workers, which is higher than the observations in the western population. […] The odds of employees being diagnosed with CTS who often or always worked while in pain were 3.94 to 4.73 times greater than those did not experience any pain at work. […] The high prevalence rate of clinically diagnosed CTS and wrist/hand symptoms among Chinese office workers in this study has identified the potential for VDT-related occupational health hazard prevention.
  • #28 Prevalence and risk factors of self-reported wrist and hand symptoms and clinically confirmed carpal tunnel syndrome among office workers in China: a cross-sectional study | BMC Public Health | Full Text
    https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-020-10137-1
    The occurrence rates of the wrist and hand symptoms were near 22 and 15% respectively. […] The present study suggests a 10% prevalence of clinically confirmed CTS in Chinese office workers, which is higher than the observations in the western population. […] The odds of employees being diagnosed with CTS who often or always worked while in pain were 3.94 to 4.73 times greater than those did not experience any pain at work. […] The high prevalence rate of clinically diagnosed CTS and wrist/hand symptoms among Chinese office workers in this study has identified the potential for VDT-related occupational health hazard prevention.
  • #29 Prevalence and risk factors of self-reported wrist and hand symptoms and clinically confirmed carpal tunnel syndrome among office workers in China: a cross-sectional study | BMC Public Health | Full Text
    https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-020-10137-1
    Carpal tunnel syndrome (CTS) is a common cause of pain, numbness and tingling in the wrist and hand region and is associated with repetitive wrist and hand use in office workers. […] This study aimed to investigate the prevalence of wrist/hand symptoms and CTS in office workers in China and to identify associated risk factors. […] The clinically confirmed CTS prevalence was 9.6%. […] The prevalence of wrist and hand symptoms were 22 and 15%, respectively. […] Frequently working in pain was associated with higher odds of CTS. […] The prevalence of work-related clinically confirmed CTS symptoms among young office workers in China is high. […] Intense computer use and no breaks at work are associated with wrist and hand symptoms. […] The highest CTS prevalence of 61% was found among industrial workers mainly using grinding tools, while about 1% of industrial workers with forceful but low repetitive hand use developed CTS.
  • #30 Recognition and Management of Achenbach Syndrome (Paroxysmal Finger Hematoma) – Journal of Urgent Care Medicine
    https://www.jucm.com/recognition-and-management-of-achenbach-syndrome-paroxysmal-finger-hematoma/
    A systematic literature review revealed that Achenbach syndrome primarily affected women, with a median age of 49.5 years. […] Due to its sporadic nature and benign outcome, the exact prevalence is challenging to determine. Although it appears to be a rare disorder (fewer than 100 cases have been reported), many more cases may exist that have never presented for medical attention.
  • #31 Recognition and Management of Achenbach Syndrome (Paroxysmal Finger Hematoma) – Journal of Urgent Care Medicine
    https://www.jucm.com/recognition-and-management-of-achenbach-syndrome-paroxysmal-finger-hematoma/
    A systematic literature review revealed that Achenbach syndrome primarily affected women, with a median age of 49.5 years. […] Due to its sporadic nature and benign outcome, the exact prevalence is challenging to determine. Although it appears to be a rare disorder (fewer than 100 cases have been reported), many more cases may exist that have never presented for medical attention.
  • #32 Achenbach syndrome | Radiology Reference Article | Radiopaedia.org
    https://radiopaedia.org/articles/achenbach-syndrome?lang=us
    Achenbach syndrome is more common in women, typically in middle to older age (30-73 years of age) 1. […] Although no definite associations are identified, the disease has some parallels with Raynaud disease and case reports exist of the conditions co-existing 2.
  • #33 Tenosynovitis: Practice Essentials, Pathophysiology, Etiology
    https://emedicine.medscape.com/article/2189339-overview
    Epidemiology has been reported to account for 2.5-9.4% of all hand infections. […] Trigger finger is a common hand condition, with a reported prevalence of 2% in the general population. […] The incidence of trigger digits has a bimodal distribution, with a peak in childhood and a second peak in middle age. […] Involvement of the tendon sheath is a common feature of rheumatoid hand disease. […] Approximately 55% of patients with RA reported symptoms of tenosynovitis, affecting an average of 3.1 tendons. […] As many as 87% of patients have radiographic evidence of tenosynovitis on MRI. […] The prevalence of psoriatic arthritis among those with psoriasis is between 6% and 41%. […] True tendon involvement in crystalline deposition disorders is rare.
  • #34 Tenosynovitis: Practice Essentials, Pathophysiology, Etiology
    https://emedicine.medscape.com/article/2189339-overview
    Epidemiology has been reported to account for 2.5-9.4% of all hand infections. […] Trigger finger is a common hand condition, with a reported prevalence of 2% in the general population. […] The incidence of trigger digits has a bimodal distribution, with a peak in childhood and a second peak in middle age. […] Involvement of the tendon sheath is a common feature of rheumatoid hand disease. […] Approximately 55% of patients with RA reported symptoms of tenosynovitis, affecting an average of 3.1 tendons. […] As many as 87% of patients have radiographic evidence of tenosynovitis on MRI. […] The prevalence of psoriatic arthritis among those with psoriasis is between 6% and 41%. […] True tendon involvement in crystalline deposition disorders is rare.
  • #35 Tenosynovitis: Practice Essentials, Pathophysiology, Etiology
    https://emedicine.medscape.com/article/2189339-overview
    Epidemiology has been reported to account for 2.5-9.4% of all hand infections. […] Trigger finger is a common hand condition, with a reported prevalence of 2% in the general population. […] The incidence of trigger digits has a bimodal distribution, with a peak in childhood and a second peak in middle age. […] Involvement of the tendon sheath is a common feature of rheumatoid hand disease. […] Approximately 55% of patients with RA reported symptoms of tenosynovitis, affecting an average of 3.1 tendons. […] As many as 87% of patients have radiographic evidence of tenosynovitis on MRI. […] The prevalence of psoriatic arthritis among those with psoriasis is between 6% and 41%. […] True tendon involvement in crystalline deposition disorders is rare.
  • #36 Pathology Outlines – Tenosynovial giant cell tumor
    https://www.pathologyoutlines.com/topic/softtissuegctlocal.html
    Epidemiology […] – Localized type […] – 40 patients/1 million […] – Fourth or fifth decade of life (most frequently) […] – F:M = 2:1 […] – Diffuse type (NIH: SEER Cancer Statistics Review, 1975-2010 [Accessed 24 November 2021]) […] – Annual incidence rate: 1.8 patients/1 million in United States […] – Peaks in the third and fourth decades of life with an average of 35 years […] – Female predominance […] – Malignant […] – Uncommon […] – Middle aged to older adults (most are 50 – 60 years) […] […] […] Sites […] – Localized type […] – Predominantly occurs in the digits (85%), especially fingers (75%) […] – Uncommon around large joints (10%) […] – Intra-articular localized tenosynovial giant cell tumors are most frequent in the knee […] – Diffuse type (Lancet Oncol 2019;20:877)
  • #37 Pathology Outlines – Tenosynovial giant cell tumor
    https://www.pathologyoutlines.com/topic/softtissuegctlocal.html
    – Intra-articular […] – Knee (65%) […] – Hip and ankle (25%) […] – Elbow, shoulder, temporomandibular joint, spine […] – Extra-articular extension […] – Knee […] – Foot, wrist, inguinal, elbow region, digits […] – Malignant […] – Often occurs in the lower extremities
  • #38 Finger fractures: Epidemiology and treatment based on 21341 fractures from the Swedish Fracture register | PLOS One
    https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0288506
    There is a lack of detailed epidemiological studies of finger fractures, the most common fracture of the upper extremity. […] The epidemiology of finger fractures is yet described only in limited populations or as sports related injuries, and without regard to detailed information about fracture location or type. […] The aim of this study was to describe anatomical distribution, treatment, and the incidence of finger fractures based on data from the SFR and to assess possible differences in treatment and result in terms of PROMs according to fracture type, treatment, and sex. Epidemiologic research can identify risk factors, groups at risk and describe current treatment for specific a condition. This knowledge can enable better allocation of resources and more correct implementation of evidence-based treatments.
  • #39 Finger fractures: Epidemiology and treatment based on 21341 fractures from the Swedish Fracture register | PLOS One
    https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0288506
    21 341 individual finger fractures were identified in the registry. […] The predominant cause of injury was a fall (29%) followed by crush injury (17%). […] The incidence in the VG-region from 2015 to 2019 ranged from 6.6 to 9.3 per 104 PYR. […] Based on the extensive registry data from the SFR this study presents detailed epidemiological information about finger fractures that can be used as a point of reference in clinical work and for future studies.
  • #40
    https://www.ajol.info/index.php/eamj/article/view/202788
    Fingertip injuries are one of the most common injuries in the hand, because the fingertips are exposed in many of the activities of daily living. […] A retrospective review of patients with fingertip injuries managed at a tertiary hospital in Nigeria over a 10-year period was done. […] The leading causes of tip injuries were jamming of fingers in doors (26.3%), machines injuries (23.7%) and vehicular accidents (18.4%). […] While accurate diagnosis and appropriate intervention are key in achieving a satisfactory outcome in fingertip injuries, the preventive public health advocacy for safer environment and workplace would help in reducing the burden.
  • #41
    https://www.ajol.info/index.php/eamj/article/view/202788
    Fingertip injuries are one of the most common injuries in the hand, because the fingertips are exposed in many of the activities of daily living. […] A retrospective review of patients with fingertip injuries managed at a tertiary hospital in Nigeria over a 10-year period was done. […] The leading causes of tip injuries were jamming of fingers in doors (26.3%), machines injuries (23.7%) and vehicular accidents (18.4%). […] While accurate diagnosis and appropriate intervention are key in achieving a satisfactory outcome in fingertip injuries, the preventive public health advocacy for safer environment and workplace would help in reducing the burden.
  • #42 Vibration White Finger Disease in U.S. Workers (82-118) | NIOSH | CDC
    https://www.cdc.gov/niosh/docs/82-118/default.html
    An epidemiologic study of vibration white finger (VWF) disease in United States workers using pneumatic chipping and grinding hand tools was conducted. The incidence of primary Raynauds disease in the cohort was 2.6 percent. Forty seven percent of the exposed foundry workers and 19 percent of the exposed shipyard workers had VWF. The tip of the middle finger was affected to the greatest extent by tingling, numbness, and blanching. The median latency for blanching was 1.4 years in the foundry workers and 16.5 years in the shipyard workers. The severity of each stage of VWF was significantly, positively correlated with the number of years the foundry and shipyard workers used chipping tools. Hourly workers had the highest incidence of mild VWF, stage 00. Workers who were employed on a piece work basis had the highest incidence of severe VWF, stages 02 and 03. The results of the sensory tests for temperature, pain, and light touch were significantly associated with the stages of VWF on a population basis, but not on an individual basis. The authors conclude that using pneumatic chipping and grinding hand tools for prolonged times is a significant risk factor for VWF in the populations studied.
  • #43 Vibration White Finger Disease in U.S. Workers (82-118) | NIOSH | CDC
    https://www.cdc.gov/niosh/docs/82-118/default.html
    An epidemiologic study of vibration white finger (VWF) disease in United States workers using pneumatic chipping and grinding hand tools was conducted. The incidence of primary Raynauds disease in the cohort was 2.6 percent. Forty seven percent of the exposed foundry workers and 19 percent of the exposed shipyard workers had VWF. The tip of the middle finger was affected to the greatest extent by tingling, numbness, and blanching. The median latency for blanching was 1.4 years in the foundry workers and 16.5 years in the shipyard workers. The severity of each stage of VWF was significantly, positively correlated with the number of years the foundry and shipyard workers used chipping tools. Hourly workers had the highest incidence of mild VWF, stage 00. Workers who were employed on a piece work basis had the highest incidence of severe VWF, stages 02 and 03. The results of the sensory tests for temperature, pain, and light touch were significantly associated with the stages of VWF on a population basis, but not on an individual basis. The authors conclude that using pneumatic chipping and grinding hand tools for prolonged times is a significant risk factor for VWF in the populations studied.
  • #44 The Epidemiology of Hand and Finger Lacerations in United States Emergency Departments – PubMed
    https://pubmed.ncbi.nlm.nih.gov/35177285/
    Hand and finger lacerations presenting to U.S. emergency departments (EDs) are common, although the burden of these injuries is not well understood. […] Our aim is to describe the epidemiology and causes of hand and finger lacerations in U.S. EDs. […] Annually, hand and finger lacerations account for 243,844 and 587,451 ED visits, respectively. […] Hand and finger lacerations result in a significant number of ED visits. A better understanding of injury trends and presentations can guide injury prevention in manufacturing, education, and public health.
  • #45 Finger fractures: Epidemiology and treatment based on 21341 fractures from the Swedish Fracture register | PLOS One
    https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0288506
    There is a lack of detailed epidemiological studies of finger fractures, the most common fracture of the upper extremity. […] The epidemiology of finger fractures is yet described only in limited populations or as sports related injuries, and without regard to detailed information about fracture location or type. […] The aim of this study was to describe anatomical distribution, treatment, and the incidence of finger fractures based on data from the SFR and to assess possible differences in treatment and result in terms of PROMs according to fracture type, treatment, and sex. Epidemiologic research can identify risk factors, groups at risk and describe current treatment for specific a condition. This knowledge can enable better allocation of resources and more correct implementation of evidence-based treatments.
  • #46 Mechanism and epidemiology of paediatric finger injuries at Prince of Wales Hospital in Hong Kong | HKMJ
    https://www.hkmj.org/abstracts/v21n3/237.htm
    Objectives: To determine the mechanism and epidemiology of paediatric finger injuries in Hong Kong during 2003-2005 and 2010-2012. […] Overall, the mechanisms and epidemiology of paediatric finger injuries were similar between groups A and B. […] Crushing injury of finger by door is the most common mechanism of injury among younger children and accounts for a large number of hospital admissions. […] There has been no significant decrease in the number of crushing injuries of finger by door in the 5 years between the two studies despite easily available and affordable preventive measures. […] Similar to other countries, crushing injury of finger by door was the most common cause of paediatric finger injuries in Hong Kong. […] Although many preventive measures are available and easily accessible at low cost, there were no significant differences in injury mechanism and epidemiology between 2003-2005 and 2010-2012.
  • #47 Mechanism and epidemiology of paediatric finger injuries at Prince of Wales Hospital in Hong Kong | HKMJ
    https://www.hkmj.org/abstracts/v21n3/237.htm
    Paediatric crushing injury of finger by door can occur even in the presence of adults. Reinforcement of public education on the use of safety measures, including door modification and precautions in the home, should be conducted to prevent such injuries. […] Crushing injury of finger by door is common. […] Crushing injury by door was the major cause of paediatric finger injuries leading to hospital admission in both 2003-2005 and 2010-2012. […] Despite the easy availability and accessibility of these safety devices, there has been no significant change or improvement in terms of incidence and morbidity of children with crushing injury of fingers by door admitted to Prince of Wales Hospital in the 5-year period between 2003-2005 and 2010-2012. […] Crushing injury of finger by door accounts for the most common cause of paediatric finger injury requiring hospitalisation in Hong Kong.
  • #48 Epidemiology of hand and wrist injuries treated in a reference specialty center over a year
    http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S2306-41022021000500429
    The aim of this study was to describe the epidemiology of hand and wrist injuries treated in the ED of a high specialty reference medical facility over a year. […] The most common injuries reported worldwide are lacerations. […] The most common injury mechanism was a fall (33.56%) followed by blunt trauma (22.57%). […] Hand injuries constitute a high percentage of injuries treated in emergency departments worldwide. […] There is little information on the epidemiology of hand injuries in Mexico. […] Hand and wrist injuries need to receive specialized treatment to avoid complications and permanent disability and the creation of national registries could help better design reference guidelines for hand and wrist injuries in Mexico.
  • #49
    https://www.ajol.info/index.php/eamj/article/view/202788
    Fingertip injuries are one of the most common injuries in the hand, because the fingertips are exposed in many of the activities of daily living. […] A retrospective review of patients with fingertip injuries managed at a tertiary hospital in Nigeria over a 10-year period was done. […] The leading causes of tip injuries were jamming of fingers in doors (26.3%), machines injuries (23.7%) and vehicular accidents (18.4%). […] While accurate diagnosis and appropriate intervention are key in achieving a satisfactory outcome in fingertip injuries, the preventive public health advocacy for safer environment and workplace would help in reducing the burden.
  • #50 Epidemiology of hand and wrist injuries treated in a reference specialty center over a year
    http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S2306-41022021000500429
    Epidemiology of hand and wrist injuries treated in a reference specialty center over a year […] Hand injuries constitute 6.6% to 28.6% of all injuries in the musculoskeletal system. […] We describe the epidemiology of hand and wrist injuries treated over a year in the emergency department of a reference hospital in Mexico City that treats patients with no social security. […] Hand and wrist injuries constituted 8.9% of all emergencies treated in the emergency department of INR-LGII during 2015. […] The most common injuries were fractures, contusions and sprains. […] Hand and wrist injuries are common. There is currently not enough epidemiological data on non-laboring hand injuries in Mexico or the world. […] The epidemiology of hand and wrist injuries is not well described in Mexico either in the working population or in the non-working population and there is no national registry of hand injuries and subsequent disability.
  • #51 Finger fractures: Epidemiology and treatment based on 21341 fractures from the Swedish Fracture register | PLOS One
    https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0288506
    There is a lack of detailed epidemiological studies of finger fractures, the most common fracture of the upper extremity. […] The epidemiology of finger fractures is yet described only in limited populations or as sports related injuries, and without regard to detailed information about fracture location or type. […] The aim of this study was to describe anatomical distribution, treatment, and the incidence of finger fractures based on data from the SFR and to assess possible differences in treatment and result in terms of PROMs according to fracture type, treatment, and sex. Epidemiologic research can identify risk factors, groups at risk and describe current treatment for specific a condition. This knowledge can enable better allocation of resources and more correct implementation of evidence-based treatments.