Złamany palec lub kciuk
Epidemiologia

Złamania palców i kciuków stanowią około 10% wszystkich złamań szkieletu i są najczęstszymi urazami kończyny górnej, z częstością występowania około 12 na 100 000 osób rocznie. Epidemiologia tych złamań wykazuje charakterystyczny rozkład wiekowy i płciowy: najczęściej dotyczą dzieci i osoby starsze, z przewagą chłopców wśród dzieci oraz wyrównanym rozkładem płci u dorosłych. Paliczki dalsze są najczęściej łamanymi kośćmi, a palec mały najczęstszym miejscem złamań paliczków (26%). Złamania kciuka, szczególnie kości śródręcza pierwszej, stanowią około 25% złamań kości śródręcza i występują najczęściej u dzieci poniżej 16 roku życia oraz osób powyżej 65 roku życia. Główne mechanizmy urazów to upadki (29%), urazy zmiażdżeniowe (17%) oraz uderzenia szybko poruszającym się przedmiotem. W populacji zawodowej i sportowej złamania palców są istotnym problemem zdrowotnym, z wysokim odsetkiem amputacji u młodych pracowników oraz znaczną częstością urazów w sportach takich jak piłka ręczna, koszykówka i narciarstwo.

Epidemiologia złamanych palców i kciuków

Złamania palców i kciuków są jednymi z najczęstszych urazów układu mięśniowo-szkieletowego. Stanowią one około 10% wszystkich złamań szkieletu i znaczną część urazów kończyny górnej.1 Częstość występowania złamań palców szacuje się na około 0,012% populacji (12 na 100 000 osób) rocznie w Stanach Zjednoczonych.23 Według danych ze szwedzkiego rejestru złamań (Swedish Fracture Register), który zgromadził dane dotyczące 21 341 indywidualnych złamań palców, są to najczęstsze złamania w obrębie kończyny górnej.4

Rozkład według wieku i płci

Złamania palców i kciuków wykazują charakterystyczny rozkład wiekowy i płciowy:56

  • Najczęściej występują u dzieci i osób starszych, rzadziej w przedziale wiekowym 45-85 lat7
  • Wśród dzieci częściej dotykają chłopców8
  • U dorosłych rozkład między płciami jest bardziej wyrównany, z niewielką przewagą mężczyzn9
  • Złamania kciuka są najczęstsze u dzieci poniżej 16 roku życia oraz u osób powyżej 65 roku życia10
  • U dzieci poniżej 16 lat złamania kciuka stanowią 22% wszystkich złamań kości śródręcza lub paliczków11
  • W grupie wiekowej 17-40 lat złamania kciuka stanowią tylko 12% złamań ręki12
  • U osób powyżej 65 roku życia odsetek złamań kciuka ponownie wzrasta do 20% wszystkich złamań ręki13

Złamania kości śródręcza są częstsze u dorosłych, podczas gdy złamania paliczków są częstsze u dzieci.14 Badania epidemiologiczne wskazują również, że złamania kości śródręcza mają najwyższą częstość występowania u osób w wieku 10-20 lat, a złamania paliczków najczęściej występują u osób w wieku 11-15 lat.15

Rozkład anatomiczny złamań

Złamania palców wykazują charakterystyczną dystrybucję anatomiczną:1617

  • Paliczek dalszy jest najczęściej łamaną kością w ręce, następnie kości śródręcza18
  • Wśród palców, palec mały jest najczęstszym miejscem złamań paliczków (26%), następnie palec serdeczny (24%), środkowy (19%), kciuk i wskazujący (po 16%)19
  • Najczęstszym miejscem złamania paliczka jest trzon (36%), następnie podstawa (32%), opuszka (19%), głowa (6%), szyjka (4%) i złamania wielopoziomowe złożone (4%)20
  • Paliczki bliższe (od strony nadgarstka) są częściej łamane, a mniejsze palce są bardziej narażone na złamania niż palec wskazujący i kciuk2122
  • Paliczki proksymalne i dystalne mają podobną częstość złamań, po 39% wszystkich złamań23

W przypadku kciuka, około 80% złamań dotyczy podstawy kości śródręcza pierwszej.24 Złamania kości śródręcza pierwszej (kciuka) stanowią prawie 25% wszystkich złamań kości śródręcza, ustępując częstością jedynie złamaniom szyjki kości śródręcza piątej (tzw. „złamaniom boksera”).25

Przyczyny złamań palców i kciuków

Główne przyczyny złamań palców i kciuków obejmują:2627

  • Upadki (29% przypadków)28
  • Urazy zmiażdżeniowe (17% przypadków)29
  • Uderzenie szybko poruszającym się przedmiotem, jak piłka30
  • Wystawienie ręki podczas upadku31
  • Przytrzaśnięcie palca w drzwiach lub szufladzie32
  • Urazy związane z wypadkami samochodowymi33
  • Używanie narzędzi, takich jak wiertarki, piły mechaniczne lub młotki34

Mechanizmy urazów różnią się w zależności od wieku:35

  • U dzieci w wieku 1-8 lat najczęstszą przyczyną są przytrzaśnięcia drzwiami36
  • W grupie wiekowej 9-12 lat dominują upadki w domu37
  • W najstarszej grupie (13-18 lat) zarówno upadki w domu, jak i urazy sportowe38

Złamania kciuka u młodszych pacjentów najczęściej występują w związku z uprawianiem sportu, u pacjentów w średnim wieku w związku z pracą, a u starszych osób w wyniku upadków i wypadków samochodowych.39

Urazy palców i ręki stanowią istotny problem zdrowotny zarówno w kontekście zawodowym, jak i sportowym.40 Około 1,8 miliona osób rocznie trafia na oddziały ratunkowe z powodu urazów ręki, a większość urazów traumatycznych jest związana z pracą.41

Urazy palców związane z pracą są szczególnie częste wśród młodych mężczyzn:42

  • Wskaźniki amputacji palców u pracowników poniżej 20 roku życia są 5-6 razy wyższe niż u pracowników powyżej 35 roku życia43
  • Igły iniekcyjne, noże, krajalnice i/lub siekacze odpowiadają za prawie 22% wszystkich zawodowych urazów palców44
  • Z 823 343 urazów zawodowych związanych z ręką, szacunkowo 13 500 (1,6%) dotyczyło amputacji jednego lub więcej palców45

W populacji wojskowej złamania ręki, w tym palców, również stanowią istotny problem. Badania przeprowadzone w koreańskiej armii wykazały, że najczęstszym miejscem złamań są paliczki palców i kciuka, a następnie kostki i kości śródręcza.46 Częstość występowania złamań wynosiła 12,96 na 1000 osobolat u mężczyzn i 0,19 na 1000 osobolat u kobiet w wojsku.47

Złamania palców i kciuków są powszechne w sporcie:4849

  • Złamania palców i kości śródręcza są najczęstszymi złamaniami związanymi ze sportem u dorosłych i młodzieży50
  • Urazy ręki stanowią 9% wszystkich urazów u sportowców, prawdopodobnie dlatego, że ręka służy jako forma ochrony i często przyjmuje pierwsze uderzenie5152
  • Częstość urazów ręki wynosi 30% wszystkich urazów w piłce ręcznej, w porównaniu do 19% w koszykówce i 23% w siatkówce5354
  • Palce są dotknięte w trzech na cztery przypadki urazów ręki w sporcie5556

Przegląd literatury dotyczącej urazów ręki i nadgarstka wśród profesjonalnych sportowców w sportach takich jak baseball, football, boks i koszykówka wykazał, że urazy więzadła pobocznego kciuka są drugim najczęstszym rodzajem urazu ręki/nadgarstka (13,9%), po złamaniach kości śródręcza (34,5%).57

Specyficzne urazy palców związane ze sportem obejmują:5859

  • „Kciuk narciarza” (uszkodzenie więzadła pobocznego łokciowego stawu śródręczno-paliczkowego kciuka) – piłka ręczna uczestniczy w 15% przypadków tych urazów, w porównaniu do 75% w narciarstwie60
  • Uraz więzadła pobocznego promieniowego – piłka ręczna odpowiada za 40% tych uszkodzeń61
  • „Palec młotkowaty” (mallet finger) – częściej występuje u mężczyzn, z istotnymi urazami u młodszych mężczyzn i mniejszymi urazami u starszych kobiet62

Czynniki społeczno-ekonomiczne

Czynniki społeczno-ekonomiczne również wpływają na epidemiologię złamań palców:6364

  • Zamożniejsze osoby rzadziej doświadczają złamań palców6566
  • W krajach rozwijających się, takich jak Meksyk, istnieje ograniczona ilość danych epidemiologicznych na temat urazów ręki wśród populacji niepracującej67
  • W badaniu przeprowadzonym w specjalistycznym ośrodku referencyjnym w Meksyku, urazy ręki i nadgarstka stanowiły 8,9% wszystkich przypadków leczonych na oddziale ratunkowym68
  • Studenci i gospodynie domowe stanowili prawie połowę populacji leczonej z powodu urazów ręki i nadgarstka w tym badaniu69

Leczenie i wyniki

Leczenie złamań palców i kciuków zależy od lokalizacji i ciężkości złamania.70 Dane epidemiologiczne wskazują, że:71

  • Większość pacjentów wymaga tylko jednej wizyty w szpitalu (89,0%)72
  • Znaczna część pacjentów przechodzi zabiegi chirurgiczne (90,1%), które najczęściej obejmują pojedynczą operację (93,2%) w znieczuleniu ogólnym (83,3%)73
  • Wyższy wskaźnik interwencji chirurgicznych może być związany z wyższym odsetkiem złamań otwartych (30% w porównaniu z 10% w poprzednich badaniach)74
  • Komplikacje podczas leczenia występują u około 15% pacjentów75

Złamania palców i kciuków generalnie dobrze goją się po odpowiednim leczeniu, ale mogą wymagać rehabilitacji, która jest kluczowa dla pomyślnego wyniku.76 Czas powrotu do zdrowia po złamaniu palca lub kciuka waha się od kilku tygodni do roku, w zależności od rozległości urazu i zastosowanego leczenia.77

Nieleczone złamania palców mogą prowadzić do długotrwałych konsekwencji, takich jak zaburzenia funkcji, przewlekły ból, sztywność, deformacja i zmiany zwyrodnieniowe stawów.7879 Szczególnie niepokojące są złamania obejmujące stawy śródręczno-paliczkowe, międzypaliczkowe bliższe lub międzypaliczkowe dalsze, które często wymagają interwencji chirurgicznej.80

Szczególne przypadki złamań palców i kciuków

Złamania kciuka

Złamania kciuka zasługują na szczególną uwagę ze względu na ich częstość występowania i znaczenie funkcjonalne:8182

  • Złamania kości śródręcza pierwszej (kciuka) stanowią prawie 25% wszystkich złamań kości śródręcza83
  • Ponad 80% złamań kości śródręcza pierwszej dotyczy podstawy84
  • Złamania kciuka występują najczęściej u dzieci poniżej 16 roku życia i dorosłych powyżej 65 roku życia85
  • Złamania kości śródręcza kciuka występują najczęściej u młodszych mężczyzn (10-29 lat)86
  • U osób powyżej 65 roku życia, kciuk jest najczęściej uszkadzanym palcem (33% złamań ręki w tej grupie wiekowej)87

Epibasalne złamanie kciuka stanowi około 3% wszystkich złamań ręki i 16% złamań kości śródręcza, występując głównie (80%) u młodych mężczyzn.88 Ważne jest, aby odróżnić je od złamań śródstawowych (np. złamania Bennetta lub złamania Rolando), które są zwykle niestabilne i wymagają leczenia operacyjnego.89

Złamania kostek (kości śródręcza)

Złamania kostek, znane również jako złamania kości śródręcza, są powszechne.90 Stanowią one około 18-44% wszystkich złamań ręki.91 Ponad trzy czwarte wszystkich złamań kostek występuje u mężczyzn, a są one częstsze wśród nastolatków i młodych dorosłych.92 Z odpowiednim leczeniem, większość złamanych kostek dobrze się goi.93

Złamania kości śródręcza piątej („złamania boksera”) stanowią około jednej trzeciej wszystkich złamań ręki u dorosłych i są zwykle spowodowane uderzeniem pięścią (siłą uderzeniową).94

Złamania palców u dzieci

Złamania palców u dzieci wymagają szczególnej uwagi ze względu na potencjalny wpływ na rozwijający się układ kostny:9596

  • 69% urazów ręki u dzieci wymagających pilnej operacji występuje w domu, 11% w szkole, a 4% w obiektach sportowych97
  • Najczęstszym uszkodzeniem (36% przypadków) jest uraz zmiażdżeniowy paliczka dalszego98
  • Złamania i zwichnięcia stanowią 12% przypadków urazów ręki u dzieci99

Badania epidemiologiczne złamań ręki u dzieci w Arabii Saudyjskiej wykazały, że większość złamań ręki u dzieci miała miejsce w domu, co wskazuje na potrzebę ponownej oceny warunków domowych w kontekście bezpieczeństwa.100

Podsumowanie danych epidemiologicznych

Złamania palców i kciuków stanowią istotny problem zdrowotny ze względu na ich wysoką częstość występowania i potencjalne długoterminowe konsekwencje niewłaściwego leczenia. Dane epidemiologiczne wskazują na zróżnicowany rozkład w zależności od wieku, płci, lokalizacji anatomicznej i mechanizmu urazu.101102

Szczegółowe badania epidemiologiczne, takie jak te oparte na szwedzkim rejestrze złamań, dostarczają cennych informacji, które mogą służyć jako punkt odniesienia w pracy klinicznej i przyszłych badaniach.103 Lepsze zrozumienie epidemiologii złamań palców i kciuków jest niezbędne do opracowania skutecznych strategii profilaktycznych i poprawy wyników leczenia.104

Warto podkreślić, że złamania palców, choć dotyczą małych kości, nie są drobnymi urazami i wymagają odpowiedniego leczenia, aby zapobiec długoterminowym konsekwencjom, takim jak zaburzenia funkcji, przewlekły ból, sztywność i deformacja.105 Wczesna diagnoza i odpowiednie postępowanie są kluczowe dla osiągnięcia optymalnych wyników leczenia.106

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  1. 09.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Overview of finger, hand, and wrist fractures – UpToDate
    https://www.uptodate.com/contents/overview-of-finger-hand-and-wrist-fractures
    Fractures of the phalanges and metacarpals are among the most common fractures of the skeletal system and account for 10 percent of all fractures. Along with fractures of the carpal bones, they represent a substantial portion of upper extremity fractures. The distal phalanx is the most commonly fractured bone in the hand, followed by the metacarpals. […] Metacarpal fractures are seen more often in adults, whereas phalangeal fractures are more common in children. Approximately 20 percent of metacarpal and phalangeal fractures are intra-articular.
  • #2 Broken finger – Wikiwand
    https://www.wikiwand.com/en/articles/Broken_finger
    Broken fingers affect 0.012% of people (12 in 100 000) per year in the United States. Finger fractures are common in children and old adults, but less common in the 45 to 85 age range. More male children break their fingers; in adults, only slightly more males. Wealthier people are less likely to break their fingers.[1] […] The proximal (wristwards) finger bones are those most likely to be broken, and the smaller fingers are more likely to be broken than the index finger and thumb.[1]
  • #3 Broken finger – WikiProjectMed
    https://mdwiki.org/wiki/Broken_finger
    Broken fingers affect 0.012% of people per year in the United States. Finger fractures are common in children and old adults, but less common in the 45 to 85 age range. More male children break their fingers; in adults, only slightly more males. Wealthier people are less likely to break their fingers. […] The proximal (wristwards) finger bones are those most likely to be broken, and the smaller fingers are more likely to be broken than the index finger and thumb.
  • #4 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
    Finger fractures are the most common fractures in 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. […] 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.
  • #5 Broken finger – Wikiwand
    https://www.wikiwand.com/en/articles/Broken_finger
    Broken fingers affect 0.012% of people (12 in 100 000) per year in the United States. Finger fractures are common in children and old adults, but less common in the 45 to 85 age range. More male children break their fingers; in adults, only slightly more males. Wealthier people are less likely to break their fingers.[1] […] The proximal (wristwards) finger bones are those most likely to be broken, and the smaller fingers are more likely to be broken than the index finger and thumb.[1]
  • #6 Broken finger – WikiProjectMed
    https://mdwiki.org/wiki/Broken_finger
    Broken fingers affect 0.012% of people per year in the United States. Finger fractures are common in children and old adults, but less common in the 45 to 85 age range. More male children break their fingers; in adults, only slightly more males. Wealthier people are less likely to break their fingers. […] The proximal (wristwards) finger bones are those most likely to be broken, and the smaller fingers are more likely to be broken than the index finger and thumb.
  • #7 Broken finger – Wikiwand
    https://www.wikiwand.com/en/articles/Broken_finger
    Broken fingers affect 0.012% of people (12 in 100 000) per year in the United States. Finger fractures are common in children and old adults, but less common in the 45 to 85 age range. More male children break their fingers; in adults, only slightly more males. Wealthier people are less likely to break their fingers.[1] […] The proximal (wristwards) finger bones are those most likely to be broken, and the smaller fingers are more likely to be broken than the index finger and thumb.[1]
  • #8 Broken finger – WikiProjectMed
    https://mdwiki.org/wiki/Broken_finger
    Broken fingers affect 0.012% of people per year in the United States. Finger fractures are common in children and old adults, but less common in the 45 to 85 age range. More male children break their fingers; in adults, only slightly more males. Wealthier people are less likely to break their fingers. […] The proximal (wristwards) finger bones are those most likely to be broken, and the smaller fingers are more likely to be broken than the index finger and thumb.
  • #9 Broken finger – WikiProjectMed
    https://mdwiki.org/wiki/Broken_finger
    Broken fingers affect 0.012% of people per year in the United States. Finger fractures are common in children and old adults, but less common in the 45 to 85 age range. More male children break their fingers; in adults, only slightly more males. Wealthier people are less likely to break their fingers. […] The proximal (wristwards) finger bones are those most likely to be broken, and the smaller fingers are more likely to be broken than the index finger and thumb.
  • #10 Thumb Fractures and Dislocations: Practice Essentials, History of the Procedure, Problem
    https://emedicine.medscape.com/article/1287814-overview
    In general, fractures of the hand occurred most frequently in the young adult age group. However, Stanton et al found that fractures of the thumb were most common in children and the elderly. In children younger than 16 years, 22% of all metacarpal or phalangeal hand fractures occurred in the thumb; in those aged 17-40 years, only 12% of hand fractures occurred in the thumb; in those older than 65 years, the rate of thumb fracture rose again to 20% of all hand fractures. In the elderly, the thumb was the most common tubular bone fractured in the hand, and fracture patterns were oblique and intra-articular. […] A literature review by Lehrman et al regarding hand or wrist injuries among professional athletes in sports such as baseball, football, boxing, and basketball found thumb collateral ligament injuries to be the second most common type of hand/wrist trauma (13.9%), after metacarpal fractures of the hand (34.5%).
  • #11 Thumb Fractures and Dislocations: Practice Essentials, History of the Procedure, Problem
    https://emedicine.medscape.com/article/1287814-overview
    In general, fractures of the hand occurred most frequently in the young adult age group. However, Stanton et al found that fractures of the thumb were most common in children and the elderly. In children younger than 16 years, 22% of all metacarpal or phalangeal hand fractures occurred in the thumb; in those aged 17-40 years, only 12% of hand fractures occurred in the thumb; in those older than 65 years, the rate of thumb fracture rose again to 20% of all hand fractures. In the elderly, the thumb was the most common tubular bone fractured in the hand, and fracture patterns were oblique and intra-articular. […] A literature review by Lehrman et al regarding hand or wrist injuries among professional athletes in sports such as baseball, football, boxing, and basketball found thumb collateral ligament injuries to be the second most common type of hand/wrist trauma (13.9%), after metacarpal fractures of the hand (34.5%).
  • #12 Thumb Fractures and Dislocations: Practice Essentials, History of the Procedure, Problem
    https://emedicine.medscape.com/article/1287814-overview
    In general, fractures of the hand occurred most frequently in the young adult age group. However, Stanton et al found that fractures of the thumb were most common in children and the elderly. In children younger than 16 years, 22% of all metacarpal or phalangeal hand fractures occurred in the thumb; in those aged 17-40 years, only 12% of hand fractures occurred in the thumb; in those older than 65 years, the rate of thumb fracture rose again to 20% of all hand fractures. In the elderly, the thumb was the most common tubular bone fractured in the hand, and fracture patterns were oblique and intra-articular. […] A literature review by Lehrman et al regarding hand or wrist injuries among professional athletes in sports such as baseball, football, boxing, and basketball found thumb collateral ligament injuries to be the second most common type of hand/wrist trauma (13.9%), after metacarpal fractures of the hand (34.5%).
  • #13 Thumb Fractures and Dislocations: Practice Essentials, History of the Procedure, Problem
    https://emedicine.medscape.com/article/1287814-overview
    In general, fractures of the hand occurred most frequently in the young adult age group. However, Stanton et al found that fractures of the thumb were most common in children and the elderly. In children younger than 16 years, 22% of all metacarpal or phalangeal hand fractures occurred in the thumb; in those aged 17-40 years, only 12% of hand fractures occurred in the thumb; in those older than 65 years, the rate of thumb fracture rose again to 20% of all hand fractures. In the elderly, the thumb was the most common tubular bone fractured in the hand, and fracture patterns were oblique and intra-articular. […] A literature review by Lehrman et al regarding hand or wrist injuries among professional athletes in sports such as baseball, football, boxing, and basketball found thumb collateral ligament injuries to be the second most common type of hand/wrist trauma (13.9%), after metacarpal fractures of the hand (34.5%).
  • #14 Overview of finger, hand, and wrist fractures – UpToDate
    https://www.uptodate.com/contents/overview-of-finger-hand-and-wrist-fractures
    Fractures of the phalanges and metacarpals are among the most common fractures of the skeletal system and account for 10 percent of all fractures. Along with fractures of the carpal bones, they represent a substantial portion of upper extremity fractures. The distal phalanx is the most commonly fractured bone in the hand, followed by the metacarpals. […] Metacarpal fractures are seen more often in adults, whereas phalangeal fractures are more common in children. Approximately 20 percent of metacarpal and phalangeal fractures are intra-articular.
  • #15 Epidemiology and Specific Challenges | Musculoskeletal Key
    https://musculoskeletalkey.com/epidemiology-and-specific-challenges/
    Knowing the epidemiology of hand fractures can aid in clinical care by recognizing the types of fractures and the mechanisms of injury that commonly affect each age group. The incidence of hand and wrist fractures continues to rise, particularly in adolescents, owing to increased participation in competitive sports. Metacarpal fractures have the highest incidence in 10- to 20-year-olds and phalangeal fractures have the highest incidence in 11-to 15-year-olds. […] However, in individuals older than 65 years, excluding metacarpal fractures, the thumb is the most commonly injured digit. […] Knowing the epidemiology of hand fractures can aid in clinical care by recognizing the types of fractures that commonly affect each age group and the mechanisms of injury that cause different fractures. […] In phalangeal fractures, for most age groups, the thumb is the second most commonly fractured digit after the small finger. However, in individuals older than 65 years of age, excluding metacarpal fractures, the thumb was the most commonly injured digit (33% of hand fractures in this age group).
  • #16
    https://journals.lww.com/prsgo/fulltext/2022/08000/epidemiology_and_fracture_patterns_of_traumatic.2.aspx
    Despite the relatively high incidence of phalangeal fractures, there is an imperfect understanding of the epidemiology and anatomical distribution of these fractures. […] 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. […] An optimal understanding of the epidemiological and anatomical distribution of phalangeal fractures is paramount to reducing associated health care costs and fracture risk. […] However, due to these studies being relatively small and originating from a different geographic area with potentially different demographics, previous results may not be reflective of practice in the United States. […] The incidence of phalangeal fractures is not distributed equally across the hand: the small finger proximal phalanx is the most common fracture location, 56% of phalangeal fractures occur in the nondominant hand, and about one in five is work-related.
  • #17 Phalangeal Fractures: Practice Essentials, Functional Anatomy, Sport-Specific Biomechanics
    https://emedicine.medscape.com/article/98322-overview
    In a retrospective study that included 1747 adults with phalangeal fractures, Moura et al reported that these injuries most often occurred in the small finger (26%), followed by the ring finger (24%), middle finger (19%), and thumb and index finger (both 16%). The most common fracture site was the phalangeal shaft (36%), followed by the base (32%), tuft (19%), head (6%), neck (4%), and complex multilevel fractures (4%). The majority of phalangeal fractures (65%) occurred in men. […] A retrospective study (N = 245) by Dizin et al of pediatric hand injuries requiring emergency surgery found that 69% of the injuries occurred at home, 11% at school, and 4% at a sports center. Most of the injuries involved the dorsal aspect, and the fingers were affected more frequently than the hand. The most common lesion (36% of cases) was a crush injury of a distal phalanx. Fractures and dislocations accounted for 12% of cases.
  • #18 Overview of finger, hand, and wrist fractures – UpToDate
    https://www.uptodate.com/contents/overview-of-finger-hand-and-wrist-fractures
    Fractures of the phalanges and metacarpals are among the most common fractures of the skeletal system and account for 10 percent of all fractures. Along with fractures of the carpal bones, they represent a substantial portion of upper extremity fractures. The distal phalanx is the most commonly fractured bone in the hand, followed by the metacarpals. […] Metacarpal fractures are seen more often in adults, whereas phalangeal fractures are more common in children. Approximately 20 percent of metacarpal and phalangeal fractures are intra-articular.
  • #19 Phalangeal Fractures: Practice Essentials, Functional Anatomy, Sport-Specific Biomechanics
    https://emedicine.medscape.com/article/98322-overview
    In a retrospective study that included 1747 adults with phalangeal fractures, Moura et al reported that these injuries most often occurred in the small finger (26%), followed by the ring finger (24%), middle finger (19%), and thumb and index finger (both 16%). The most common fracture site was the phalangeal shaft (36%), followed by the base (32%), tuft (19%), head (6%), neck (4%), and complex multilevel fractures (4%). The majority of phalangeal fractures (65%) occurred in men. […] A retrospective study (N = 245) by Dizin et al of pediatric hand injuries requiring emergency surgery found that 69% of the injuries occurred at home, 11% at school, and 4% at a sports center. Most of the injuries involved the dorsal aspect, and the fingers were affected more frequently than the hand. The most common lesion (36% of cases) was a crush injury of a distal phalanx. Fractures and dislocations accounted for 12% of cases.
  • #20 Phalangeal Fractures: Practice Essentials, Functional Anatomy, Sport-Specific Biomechanics
    https://emedicine.medscape.com/article/98322-overview
    In a retrospective study that included 1747 adults with phalangeal fractures, Moura et al reported that these injuries most often occurred in the small finger (26%), followed by the ring finger (24%), middle finger (19%), and thumb and index finger (both 16%). The most common fracture site was the phalangeal shaft (36%), followed by the base (32%), tuft (19%), head (6%), neck (4%), and complex multilevel fractures (4%). The majority of phalangeal fractures (65%) occurred in men. […] A retrospective study (N = 245) by Dizin et al of pediatric hand injuries requiring emergency surgery found that 69% of the injuries occurred at home, 11% at school, and 4% at a sports center. Most of the injuries involved the dorsal aspect, and the fingers were affected more frequently than the hand. The most common lesion (36% of cases) was a crush injury of a distal phalanx. Fractures and dislocations accounted for 12% of cases.
  • #21 Broken finger – Wikiwand
    https://www.wikiwand.com/en/articles/Broken_finger
    Broken fingers affect 0.012% of people (12 in 100 000) per year in the United States. Finger fractures are common in children and old adults, but less common in the 45 to 85 age range. More male children break their fingers; in adults, only slightly more males. Wealthier people are less likely to break their fingers.[1] […] The proximal (wristwards) finger bones are those most likely to be broken, and the smaller fingers are more likely to be broken than the index finger and thumb.[1]
  • #22 Broken finger – WikiProjectMed
    https://mdwiki.org/wiki/Broken_finger
    Broken fingers affect 0.012% of people per year in the United States. Finger fractures are common in children and old adults, but less common in the 45 to 85 age range. More male children break their fingers; in adults, only slightly more males. Wealthier people are less likely to break their fingers. […] The proximal (wristwards) finger bones are those most likely to be broken, and the smaller fingers are more likely to be broken than the index finger and thumb.
  • #23
    https://journals.lww.com/prsgo/fulltext/2022/08000/epidemiology_and_fracture_patterns_of_traumatic.2.aspx
    The small finger sustained the most phalangeal fractures, which may be explained by its fragility as the smallest digit and its vulnerability at the hands outer and most ulnar aspect. […] The proximal and distal phalanges had similar fracture rates at 39% of total fractures each. […] The high frequency of blunt trauma injuries in the current population may explain the high fracture rate in the proximal phalanx, considering that a relationship between blunt trauma injuries and proximal phalanx injuries has been established in pediatric literature. […] The results of this retrospective cohort analysis should be interpreted in light of its limitations.
  • #24
    https://www.orthobullets.com/hand/6036/base-of-thumb-fractures
    Base of Thumb metacarpal fractures can be extra-articular fractures, Bennett fractures (partial intra-articular), or Rolando fractures (complete intra-articular). […] 80% of thumb fractures involve the metacarpal base. […] the most common pattern is extraarticular epibasal fracture.
  • #25 First (thumb) metacarpal fractures – UpToDate
    https://www.uptodate.com/contents/first-thumb-metacarpal-fractures
    Metacarpal fractures are common. They account for 30 to 40 percent of all hand fractures. First metacarpal (thumb) fractures make up almost 25 percent of all metacarpal fractures, placing them second only to fifth metacarpal neck (ie, „boxers”) fractures in terms of frequency. Of the fractures of the first metacarpal, over 80 percent involve the base. […] Thumb fractures overall occur most commonly in children under age 16 and adults over age 65, but thumb metacarpal fractures occur most often among younger males (10 to 29 years old). They are commonly caused by falls and direct trauma secondary to sports, bicycle accidents, and from punching solid objects.
  • #26 Finger fractures: Epidemiology and treatment based on 21341 fractures from the Swedish Fracture register
    https://pmc.ncbi.nlm.nih.gov/articles/PMC10348528/
    The SFR data represents the majority of the centers treating fractures in Sweden and can provide a broad and accurate epidemiological picture of finger fractures. […] 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.
  • #27 Broken Finger or Broken Thumb: Symptoms & Recovery Time
    https://my.clevelandclinic.org/health/diseases/21784-broken-finger
    Broken fingers and thumbs are common bone breaks. They occur due to injury or weakened bones. A healthcare provider will use X-rays to diagnose finger and thumb fractures. Treatments usually include splints or surgery for more severe fractures. Broken fingers and thumbs generally heal well after treatment and rehabilitation. […] Most finger fractures and thumb fractures result from injuries. The most common situations that result in broken fingers and thumbs include having a fast-moving object, like a baseball, hit your hand, putting out your hand to break a fall, slamming your finger or thumb in a drawer or door, trauma that impacts your finger or thumb, like a car accident, and using tools like drills, power saws or hammers. […] People with calcium deficiencies or weakened bones are at higher risk of finger and thumb fractures. Fractures are also more likely to occur due to infection, lack of calcium or vitamin D, metabolic bone disease, malnutrition, osteomalacia, osteoporosis or osteopenia.
  • #28 Finger fractures: Epidemiology and treatment based on 21341 fractures from the Swedish Fracture register
    https://pmc.ncbi.nlm.nih.gov/articles/PMC10348528/
    The SFR data represents the majority of the centers treating fractures in Sweden and can provide a broad and accurate epidemiological picture of finger fractures. […] 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.
  • #29 Finger fractures: Epidemiology and treatment based on 21341 fractures from the Swedish Fracture register
    https://pmc.ncbi.nlm.nih.gov/articles/PMC10348528/
    The SFR data represents the majority of the centers treating fractures in Sweden and can provide a broad and accurate epidemiological picture of finger fractures. […] 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.
  • #30 Broken Finger or Broken Thumb: Symptoms & Recovery Time
    https://my.clevelandclinic.org/health/diseases/21784-broken-finger
    Broken fingers and thumbs are common bone breaks. They occur due to injury or weakened bones. A healthcare provider will use X-rays to diagnose finger and thumb fractures. Treatments usually include splints or surgery for more severe fractures. Broken fingers and thumbs generally heal well after treatment and rehabilitation. […] Most finger fractures and thumb fractures result from injuries. The most common situations that result in broken fingers and thumbs include having a fast-moving object, like a baseball, hit your hand, putting out your hand to break a fall, slamming your finger or thumb in a drawer or door, trauma that impacts your finger or thumb, like a car accident, and using tools like drills, power saws or hammers. […] People with calcium deficiencies or weakened bones are at higher risk of finger and thumb fractures. Fractures are also more likely to occur due to infection, lack of calcium or vitamin D, metabolic bone disease, malnutrition, osteomalacia, osteoporosis or osteopenia.
  • #31 Broken Finger or Broken Thumb: Symptoms & Recovery Time
    https://my.clevelandclinic.org/health/diseases/21784-broken-finger
    Broken fingers and thumbs are common bone breaks. They occur due to injury or weakened bones. A healthcare provider will use X-rays to diagnose finger and thumb fractures. Treatments usually include splints or surgery for more severe fractures. Broken fingers and thumbs generally heal well after treatment and rehabilitation. […] Most finger fractures and thumb fractures result from injuries. The most common situations that result in broken fingers and thumbs include having a fast-moving object, like a baseball, hit your hand, putting out your hand to break a fall, slamming your finger or thumb in a drawer or door, trauma that impacts your finger or thumb, like a car accident, and using tools like drills, power saws or hammers. […] People with calcium deficiencies or weakened bones are at higher risk of finger and thumb fractures. Fractures are also more likely to occur due to infection, lack of calcium or vitamin D, metabolic bone disease, malnutrition, osteomalacia, osteoporosis or osteopenia.
  • #32 Broken Finger or Broken Thumb: Symptoms & Recovery Time
    https://my.clevelandclinic.org/health/diseases/21784-broken-finger
    Broken fingers and thumbs are common bone breaks. They occur due to injury or weakened bones. A healthcare provider will use X-rays to diagnose finger and thumb fractures. Treatments usually include splints or surgery for more severe fractures. Broken fingers and thumbs generally heal well after treatment and rehabilitation. […] Most finger fractures and thumb fractures result from injuries. The most common situations that result in broken fingers and thumbs include having a fast-moving object, like a baseball, hit your hand, putting out your hand to break a fall, slamming your finger or thumb in a drawer or door, trauma that impacts your finger or thumb, like a car accident, and using tools like drills, power saws or hammers. […] People with calcium deficiencies or weakened bones are at higher risk of finger and thumb fractures. Fractures are also more likely to occur due to infection, lack of calcium or vitamin D, metabolic bone disease, malnutrition, osteomalacia, osteoporosis or osteopenia.
  • #33 Broken Finger or Broken Thumb: Symptoms & Recovery Time
    https://my.clevelandclinic.org/health/diseases/21784-broken-finger
    Broken fingers and thumbs are common bone breaks. They occur due to injury or weakened bones. A healthcare provider will use X-rays to diagnose finger and thumb fractures. Treatments usually include splints or surgery for more severe fractures. Broken fingers and thumbs generally heal well after treatment and rehabilitation. […] Most finger fractures and thumb fractures result from injuries. The most common situations that result in broken fingers and thumbs include having a fast-moving object, like a baseball, hit your hand, putting out your hand to break a fall, slamming your finger or thumb in a drawer or door, trauma that impacts your finger or thumb, like a car accident, and using tools like drills, power saws or hammers. […] People with calcium deficiencies or weakened bones are at higher risk of finger and thumb fractures. Fractures are also more likely to occur due to infection, lack of calcium or vitamin D, metabolic bone disease, malnutrition, osteomalacia, osteoporosis or osteopenia.
  • #34 Broken Finger or Broken Thumb: Symptoms & Recovery Time
    https://my.clevelandclinic.org/health/diseases/21784-broken-finger
    Broken fingers and thumbs are common bone breaks. They occur due to injury or weakened bones. A healthcare provider will use X-rays to diagnose finger and thumb fractures. Treatments usually include splints or surgery for more severe fractures. Broken fingers and thumbs generally heal well after treatment and rehabilitation. […] Most finger fractures and thumb fractures result from injuries. The most common situations that result in broken fingers and thumbs include having a fast-moving object, like a baseball, hit your hand, putting out your hand to break a fall, slamming your finger or thumb in a drawer or door, trauma that impacts your finger or thumb, like a car accident, and using tools like drills, power saws or hammers. […] People with calcium deficiencies or weakened bones are at higher risk of finger and thumb fractures. Fractures are also more likely to occur due to infection, lack of calcium or vitamin D, metabolic bone disease, malnutrition, osteomalacia, osteoporosis or osteopenia.
  • #35 Epidemiology of pediatric hand fractures presenting to a university hospital in Central Saudi Arabia | Saudi Medical Journal
    https://smj.org.sa/content/36/5/587
    Objectives: To investigate the epidemiology of pediatric hand fractures and to provide recommendations regarding prevention. […] The most common causes of fractures were: door slams in the 1-8 years age group; falls at home, in the 9-12 years age group; and both falls at home and sports in the oldest age group (13-18 years). […] Our series showed that most hand fractures in children occurred at home, which requires reevaluation of home settings. […] A better understanding of the epidemiology of hand fractures in the pediatric age group is essential for effective preventive strategies development. […] Findings of the present study show that pediatric hand fractures in Saudi Arabia should be classified into 3 age groups (1-8 years, 9-12 years, and 13-18 years) to target fracture prevention.
  • #36 Epidemiology of pediatric hand fractures presenting to a university hospital in Central Saudi Arabia | Saudi Medical Journal
    https://smj.org.sa/content/36/5/587
    Objectives: To investigate the epidemiology of pediatric hand fractures and to provide recommendations regarding prevention. […] The most common causes of fractures were: door slams in the 1-8 years age group; falls at home, in the 9-12 years age group; and both falls at home and sports in the oldest age group (13-18 years). […] Our series showed that most hand fractures in children occurred at home, which requires reevaluation of home settings. […] A better understanding of the epidemiology of hand fractures in the pediatric age group is essential for effective preventive strategies development. […] Findings of the present study show that pediatric hand fractures in Saudi Arabia should be classified into 3 age groups (1-8 years, 9-12 years, and 13-18 years) to target fracture prevention.
  • #37 Epidemiology of pediatric hand fractures presenting to a university hospital in Central Saudi Arabia | Saudi Medical Journal
    https://smj.org.sa/content/36/5/587
    Objectives: To investigate the epidemiology of pediatric hand fractures and to provide recommendations regarding prevention. […] The most common causes of fractures were: door slams in the 1-8 years age group; falls at home, in the 9-12 years age group; and both falls at home and sports in the oldest age group (13-18 years). […] Our series showed that most hand fractures in children occurred at home, which requires reevaluation of home settings. […] A better understanding of the epidemiology of hand fractures in the pediatric age group is essential for effective preventive strategies development. […] Findings of the present study show that pediatric hand fractures in Saudi Arabia should be classified into 3 age groups (1-8 years, 9-12 years, and 13-18 years) to target fracture prevention.
  • #38 Epidemiology of pediatric hand fractures presenting to a university hospital in Central Saudi Arabia | Saudi Medical Journal
    https://smj.org.sa/content/36/5/587
    Objectives: To investigate the epidemiology of pediatric hand fractures and to provide recommendations regarding prevention. […] The most common causes of fractures were: door slams in the 1-8 years age group; falls at home, in the 9-12 years age group; and both falls at home and sports in the oldest age group (13-18 years). […] Our series showed that most hand fractures in children occurred at home, which requires reevaluation of home settings. […] A better understanding of the epidemiology of hand fractures in the pediatric age group is essential for effective preventive strategies development. […] Findings of the present study show that pediatric hand fractures in Saudi Arabia should be classified into 3 age groups (1-8 years, 9-12 years, and 13-18 years) to target fracture prevention.
  • #39 THUMB DISTAL PHALANX FRACTURE | Hand Surgery Resource
    https://www.handsurgeryresource.net/fpa-thumb-distal
    Fractures of the distal phalanx are the most common fractures that occur in the hand, and the thumb is the second most frequently affected digit of these fractures behind the long finger. […] The highest number of distal phalanx fractures occur in the long finger, followed by the thumb. […] Fractures of the thumb are most common in the children and the elderly, with the thumb being the most commonly fractured tubular bone in elderly patients. […] Thumb distal phalanx fractures most commonly occur secondary to sports in younger patients, secondary to labor in middle-aged patients, and secondary to falls and motor vehicle accidents in older individuals. […] Mallet thumb injuries account for about 2-3% of all mallet finger injuries. […] Metacarpal and phalangeal fractures account for nearly half of all hand injuries that present to the emergency room.
  • #40 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. […] Trauma to the finger or the hand is quite common in society. In some particular cases, the entire finger may be subject to amputation. The majority of traumatic injuries are work-related.
  • #41 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. […] Trauma to the finger or the hand is quite common in society. In some particular cases, the entire finger may be subject to amputation. The majority of traumatic injuries are work-related.
  • #42
    https://www.cdc.gov/mmwr/preview/mmwrhtml/00000174.htm
    Of the 823,343, an estimated 13,500 (1.6%) suffered amputation of one or more fingers. […] The young male worker appears to be at highest risk; rates for those under 20 years of age are five to six times higher than rates for workers over 35 years of age. […] Hypodermic needles, knives, slicers, and/or choppers account for nearly 22% of all occupational finger injuries.
  • #43
    https://www.cdc.gov/mmwr/preview/mmwrhtml/00000174.htm
    Of the 823,343, an estimated 13,500 (1.6%) suffered amputation of one or more fingers. […] The young male worker appears to be at highest risk; rates for those under 20 years of age are five to six times higher than rates for workers over 35 years of age. […] Hypodermic needles, knives, slicers, and/or choppers account for nearly 22% of all occupational finger injuries.
  • #44
    https://www.cdc.gov/mmwr/preview/mmwrhtml/00000174.htm
    Of the 823,343, an estimated 13,500 (1.6%) suffered amputation of one or more fingers. […] The young male worker appears to be at highest risk; rates for those under 20 years of age are five to six times higher than rates for workers over 35 years of age. […] Hypodermic needles, knives, slicers, and/or choppers account for nearly 22% of all occupational finger injuries.
  • #45
    https://www.cdc.gov/mmwr/preview/mmwrhtml/00000174.htm
    Of the 823,343, an estimated 13,500 (1.6%) suffered amputation of one or more fingers. […] The young male worker appears to be at highest risk; rates for those under 20 years of age are five to six times higher than rates for workers over 35 years of age. […] Hypodermic needles, knives, slicers, and/or choppers account for nearly 22% of all occupational finger injuries.
  • #46 Epidemiology and Incidence of Orthopedic Fractures in the Military of the Republic of Korea
    https://jtraumainj.org/journal/view.php?number=1044
    Fractures are common in the military population, but limited studies have investigated the incidence of fractures among Korean military personnel. […] The incidence of fractures in men and women was 12.96 per 1,000 person-years and 0.19 per 1,000 person-years, respectively. In terms of the broad location of fractures, the percentage of fractures was the highest in the hand, followed by the foot and lower leg. […] When the location of fractures was analyzed more specifically, the percentage of fractures was the highest in the phalanx (thumb and fingers), followed by the ankle and metacarpal bones. […] Hand, foot, ankle, and wrist fractures were the most commonly encountered fractures in the Korean military population. […] The fractures were classified by the site, and the number fractures at each specific site is shown in Table 1. In the broad categorization, involving a broad classification of fracture location, the percentage of fractures was the highest in the hands, followed by the lower leg, and foot.
  • #47 Epidemiology and Incidence of Orthopedic Fractures in the Military of the Republic of Korea
    https://jtraumainj.org/journal/view.php?number=1044
    In the Army and Navy, the most common site of fracture incidence was the phalanx (thumb and fingers), followed in descending order by the ankles and metacarpal bones. […] The results showed that men in the military population had a fracture incidence rate of 12.96 per 1,000 person-years, and women in the military population had a fracture incidence rate of 0.19 per 1,000 person-years. […] Our results showed that the metacarpal fractures were the third most common type of fractures in the military population. […] Therefore, military personnel have a higher incidence rate of finger fractures than civilians. […] Since phalanx fractures occur more often among military personnel than in the civilian population, military personnel should receive regular safety training and should be equipped with personal protective gear to prevent non-battle-related injuries such as finger injuries.
  • #48 Common Finger Fractures and Dislocations | AAFP
    https://www.aafp.org/pubs/afp/issues/2012/0415/p805.html
    Finger fractures and dislocations are common injuries that are often managed by family physicians. […] Finger fractures and dislocations may occur during daily activities, such as work, but usually occur during participation in sporting activities. Finger and metacarpal fractures are the most common sports-related fractures in adults and adolescents. If not treated properly, finger fractures and dislocations can have significant consequences, including poor function, chronic pain, stiffness, and deformity. […] The PIP joint is the most commonly dislocated finger joint. Injuries to the MCP joint often occur in the thumbs. Dislocations of DIP joints are commonly traumatic and often complicated by fracture and soft tissue injury. […] Failure to identify and appropriately treat these fractures can lead to long-term reduced function and disability.
  • #49
    https://journal.aspetar.com/en/archive/volume-3-targeted-topic-sports-medicine-in-handball/acute-finger-injuries-in-handball
    In handball, the hand acts as an instrument to launch or receive the ball. The fingers may be caught along the trajectory of the ball or during falls or contact with other players and injured. […] Hand injuries account for 9% of all injuries in athletes, probably because the hand serves as a form of protection and often receives the initial impact. The reported frequency of hand trauma is 30% of all trauma for handball compared to 19% and 23% for basketball and volleyball, respectively. The fingers are affected three out of four times. […] Handball is involved in 15% of cases of UCL-related injuries vs 75% in skiing. Handball is also responsible for 40% of RCL lesions. […] Hand injuries are very common especially in young players who are still developing their technique of receiving the ball. Most often, treatment is conservative however in some cases, surgical treatment is needed such as in rupture of medial collateral ligament of the thumb.
  • #50 Common Finger Fractures and Dislocations | AAFP
    https://www.aafp.org/pubs/afp/issues/2012/0415/p805.html
    Finger fractures and dislocations are common injuries that are often managed by family physicians. […] Finger fractures and dislocations may occur during daily activities, such as work, but usually occur during participation in sporting activities. Finger and metacarpal fractures are the most common sports-related fractures in adults and adolescents. If not treated properly, finger fractures and dislocations can have significant consequences, including poor function, chronic pain, stiffness, and deformity. […] The PIP joint is the most commonly dislocated finger joint. Injuries to the MCP joint often occur in the thumbs. Dislocations of DIP joints are commonly traumatic and often complicated by fracture and soft tissue injury. […] Failure to identify and appropriately treat these fractures can lead to long-term reduced function and disability.
  • #51
    https://journal.aspetar.com/en/archive/volume-13-targeted-topic-sports-medicine-in-handball/acute-finger-injuries-in-handball2
    Hand injuries account for 9% of all injuries in athletes, probably because the hand serves as a form of protection and often receives the initial impact. The reported frequency of hand trauma is 30% of all trauma for handball compared to 19% and 23% for basketball and volleyball, respectively. The fingers are affected three out of four times. […] Handball is involved in 15% of cases of UCL-related injuries vs 75% in skiing. Handball is also responsible for 40% of RCL lesions. […] Most commonly seen are closed mallet finger injuries which are known as a Type I injury. Mallet finger is more common in males, with significant trauma in younger males and minor traumas in older females. Most injuries (66%) occur in the dominant hand with the most common involvement being of the last three digits and is typically limited to only one finger.
  • #52
    https://journal.aspetar.com/en/archive/volume-3-targeted-topic-sports-medicine-in-handball/acute-finger-injuries-in-handball
    In handball, the hand acts as an instrument to launch or receive the ball. The fingers may be caught along the trajectory of the ball or during falls or contact with other players and injured. […] Hand injuries account for 9% of all injuries in athletes, probably because the hand serves as a form of protection and often receives the initial impact. The reported frequency of hand trauma is 30% of all trauma for handball compared to 19% and 23% for basketball and volleyball, respectively. The fingers are affected three out of four times. […] Handball is involved in 15% of cases of UCL-related injuries vs 75% in skiing. Handball is also responsible for 40% of RCL lesions. […] Hand injuries are very common especially in young players who are still developing their technique of receiving the ball. Most often, treatment is conservative however in some cases, surgical treatment is needed such as in rupture of medial collateral ligament of the thumb.
  • #53
    https://journal.aspetar.com/en/archive/volume-13-targeted-topic-sports-medicine-in-handball/acute-finger-injuries-in-handball2
    Hand injuries account for 9% of all injuries in athletes, probably because the hand serves as a form of protection and often receives the initial impact. The reported frequency of hand trauma is 30% of all trauma for handball compared to 19% and 23% for basketball and volleyball, respectively. The fingers are affected three out of four times. […] Handball is involved in 15% of cases of UCL-related injuries vs 75% in skiing. Handball is also responsible for 40% of RCL lesions. […] Most commonly seen are closed mallet finger injuries which are known as a Type I injury. Mallet finger is more common in males, with significant trauma in younger males and minor traumas in older females. Most injuries (66%) occur in the dominant hand with the most common involvement being of the last three digits and is typically limited to only one finger.
  • #54
    https://journal.aspetar.com/en/archive/volume-3-targeted-topic-sports-medicine-in-handball/acute-finger-injuries-in-handball
    In handball, the hand acts as an instrument to launch or receive the ball. The fingers may be caught along the trajectory of the ball or during falls or contact with other players and injured. […] Hand injuries account for 9% of all injuries in athletes, probably because the hand serves as a form of protection and often receives the initial impact. The reported frequency of hand trauma is 30% of all trauma for handball compared to 19% and 23% for basketball and volleyball, respectively. The fingers are affected three out of four times. […] Handball is involved in 15% of cases of UCL-related injuries vs 75% in skiing. Handball is also responsible for 40% of RCL lesions. […] Hand injuries are very common especially in young players who are still developing their technique of receiving the ball. Most often, treatment is conservative however in some cases, surgical treatment is needed such as in rupture of medial collateral ligament of the thumb.
  • #55
    https://journal.aspetar.com/en/archive/volume-13-targeted-topic-sports-medicine-in-handball/acute-finger-injuries-in-handball2
    Hand injuries account for 9% of all injuries in athletes, probably because the hand serves as a form of protection and often receives the initial impact. The reported frequency of hand trauma is 30% of all trauma for handball compared to 19% and 23% for basketball and volleyball, respectively. The fingers are affected three out of four times. […] Handball is involved in 15% of cases of UCL-related injuries vs 75% in skiing. Handball is also responsible for 40% of RCL lesions. […] Most commonly seen are closed mallet finger injuries which are known as a Type I injury. Mallet finger is more common in males, with significant trauma in younger males and minor traumas in older females. Most injuries (66%) occur in the dominant hand with the most common involvement being of the last three digits and is typically limited to only one finger.
  • #56
    https://journal.aspetar.com/en/archive/volume-3-targeted-topic-sports-medicine-in-handball/acute-finger-injuries-in-handball
    In handball, the hand acts as an instrument to launch or receive the ball. The fingers may be caught along the trajectory of the ball or during falls or contact with other players and injured. […] Hand injuries account for 9% of all injuries in athletes, probably because the hand serves as a form of protection and often receives the initial impact. The reported frequency of hand trauma is 30% of all trauma for handball compared to 19% and 23% for basketball and volleyball, respectively. The fingers are affected three out of four times. […] Handball is involved in 15% of cases of UCL-related injuries vs 75% in skiing. Handball is also responsible for 40% of RCL lesions. […] Hand injuries are very common especially in young players who are still developing their technique of receiving the ball. Most often, treatment is conservative however in some cases, surgical treatment is needed such as in rupture of medial collateral ligament of the thumb.
  • #57 Thumb Fractures and Dislocations: Practice Essentials, History of the Procedure, Problem
    https://emedicine.medscape.com/article/1287814-overview
    In general, fractures of the hand occurred most frequently in the young adult age group. However, Stanton et al found that fractures of the thumb were most common in children and the elderly. In children younger than 16 years, 22% of all metacarpal or phalangeal hand fractures occurred in the thumb; in those aged 17-40 years, only 12% of hand fractures occurred in the thumb; in those older than 65 years, the rate of thumb fracture rose again to 20% of all hand fractures. In the elderly, the thumb was the most common tubular bone fractured in the hand, and fracture patterns were oblique and intra-articular. […] A literature review by Lehrman et al regarding hand or wrist injuries among professional athletes in sports such as baseball, football, boxing, and basketball found thumb collateral ligament injuries to be the second most common type of hand/wrist trauma (13.9%), after metacarpal fractures of the hand (34.5%).
  • #58
    https://journal.aspetar.com/en/archive/volume-13-targeted-topic-sports-medicine-in-handball/acute-finger-injuries-in-handball2
    Hand injuries account for 9% of all injuries in athletes, probably because the hand serves as a form of protection and often receives the initial impact. The reported frequency of hand trauma is 30% of all trauma for handball compared to 19% and 23% for basketball and volleyball, respectively. The fingers are affected three out of four times. […] Handball is involved in 15% of cases of UCL-related injuries vs 75% in skiing. Handball is also responsible for 40% of RCL lesions. […] Most commonly seen are closed mallet finger injuries which are known as a Type I injury. Mallet finger is more common in males, with significant trauma in younger males and minor traumas in older females. Most injuries (66%) occur in the dominant hand with the most common involvement being of the last three digits and is typically limited to only one finger.
  • #59 Gamekeeper’s thumb | Radiology Reference Article | Radiopaedia.org
    https://radiopaedia.org/articles/gamekeepers-thumb-2?lang=us
    It is caused by repetitive injury of the ulnar collateral ligament of the thumb metacarpophalangeal joint. […] This injury is now seen more frequently in skiers, and in the 1980s, breakdancers.
  • #60
    https://journal.aspetar.com/en/archive/volume-13-targeted-topic-sports-medicine-in-handball/acute-finger-injuries-in-handball2
    Hand injuries account for 9% of all injuries in athletes, probably because the hand serves as a form of protection and often receives the initial impact. The reported frequency of hand trauma is 30% of all trauma for handball compared to 19% and 23% for basketball and volleyball, respectively. The fingers are affected three out of four times. […] Handball is involved in 15% of cases of UCL-related injuries vs 75% in skiing. Handball is also responsible for 40% of RCL lesions. […] Most commonly seen are closed mallet finger injuries which are known as a Type I injury. Mallet finger is more common in males, with significant trauma in younger males and minor traumas in older females. Most injuries (66%) occur in the dominant hand with the most common involvement being of the last three digits and is typically limited to only one finger.
  • #61
    https://journal.aspetar.com/en/archive/volume-13-targeted-topic-sports-medicine-in-handball/acute-finger-injuries-in-handball2
    Hand injuries account for 9% of all injuries in athletes, probably because the hand serves as a form of protection and often receives the initial impact. The reported frequency of hand trauma is 30% of all trauma for handball compared to 19% and 23% for basketball and volleyball, respectively. The fingers are affected three out of four times. […] Handball is involved in 15% of cases of UCL-related injuries vs 75% in skiing. Handball is also responsible for 40% of RCL lesions. […] Most commonly seen are closed mallet finger injuries which are known as a Type I injury. Mallet finger is more common in males, with significant trauma in younger males and minor traumas in older females. Most injuries (66%) occur in the dominant hand with the most common involvement being of the last three digits and is typically limited to only one finger.
  • #62
    https://journal.aspetar.com/en/archive/volume-13-targeted-topic-sports-medicine-in-handball/acute-finger-injuries-in-handball2
    Hand injuries account for 9% of all injuries in athletes, probably because the hand serves as a form of protection and often receives the initial impact. The reported frequency of hand trauma is 30% of all trauma for handball compared to 19% and 23% for basketball and volleyball, respectively. The fingers are affected three out of four times. […] Handball is involved in 15% of cases of UCL-related injuries vs 75% in skiing. Handball is also responsible for 40% of RCL lesions. […] Most commonly seen are closed mallet finger injuries which are known as a Type I injury. Mallet finger is more common in males, with significant trauma in younger males and minor traumas in older females. Most injuries (66%) occur in the dominant hand with the most common involvement being of the last three digits and is typically limited to only one finger.
  • #63 Broken finger – Wikiwand
    https://www.wikiwand.com/en/articles/Broken_finger
    Broken fingers affect 0.012% of people (12 in 100 000) per year in the United States. Finger fractures are common in children and old adults, but less common in the 45 to 85 age range. More male children break their fingers; in adults, only slightly more males. Wealthier people are less likely to break their fingers.[1] […] The proximal (wristwards) finger bones are those most likely to be broken, and the smaller fingers are more likely to be broken than the index finger and thumb.[1]
  • #64 Broken finger – WikiProjectMed
    https://mdwiki.org/wiki/Broken_finger
    Broken fingers affect 0.012% of people per year in the United States. Finger fractures are common in children and old adults, but less common in the 45 to 85 age range. More male children break their fingers; in adults, only slightly more males. Wealthier people are less likely to break their fingers. […] The proximal (wristwards) finger bones are those most likely to be broken, and the smaller fingers are more likely to be broken than the index finger and thumb.
  • #65 Broken finger – Wikiwand
    https://www.wikiwand.com/en/articles/Broken_finger
    Broken fingers affect 0.012% of people (12 in 100 000) per year in the United States. Finger fractures are common in children and old adults, but less common in the 45 to 85 age range. More male children break their fingers; in adults, only slightly more males. Wealthier people are less likely to break their fingers.[1] […] The proximal (wristwards) finger bones are those most likely to be broken, and the smaller fingers are more likely to be broken than the index finger and thumb.[1]
  • #66 Broken finger – WikiProjectMed
    https://mdwiki.org/wiki/Broken_finger
    Broken fingers affect 0.012% of people per year in the United States. Finger fractures are common in children and old adults, but less common in the 45 to 85 age range. More male children break their fingers; in adults, only slightly more males. Wealthier people are less likely to break their fingers. […] The proximal (wristwards) finger bones are those most likely to be broken, and the smaller fingers are more likely to be broken than the index finger and thumb.
  • #67 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
    Hand and wrist injuries are common. There is currently not enough epidemiological data on non-laboring hand injuries in Mexico or the world. Hand and wrist injuries need to receive specialized treatment to avoid complications and permanent disability. […] 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. The National Rehabilitation Institute Luis Guillermo Ibarra Ibarra (INR-LGII) is a third level, high specialty medical facility in Mexico City that treats orthopedic conditions. It has its own hand and microsurgery department and it is a reference center for hand and wrist injuries nationwide. It offers attention essentially to the non-working, non-insured population, and informal workers without social security. 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.
  • #68 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. Little information has been reported on the non-laboring, non-insured population with no social security. 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. Young, male patients, between 21 and 30 years of age were the most commonly affected age group. Students and housewives constituted almost half the population treated for hand and wrist injuries. The most common injuries were fractures, contusions and sprains.
  • #69 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. Little information has been reported on the non-laboring, non-insured population with no social security. 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. Young, male patients, between 21 and 30 years of age were the most commonly affected age group. Students and housewives constituted almost half the population treated for hand and wrist injuries. The most common injuries were fractures, contusions and sprains.
  • #70 Broken Finger or Broken Thumb: Symptoms & Recovery Time
    https://my.clevelandclinic.org/health/diseases/21784-broken-finger
    To diagnose a broken finger or thumb, your provider will examine you and ask about your symptoms. They may check whether your injured finger angles in the wrong direction, looks shorter than your other fingers, or overlaps with your other fingers. […] Finger fracture treatment depends on the location and severity of the fracture, as well as whether or not the fracture is displaced or nondisplaced. […] You may need surgery for a fractured finger or fractured thumb if you have an injury that involves a joint, loose bone fragments, multiple fractures, tendon or ligament damage, or unstable fractures that a splint can’t support. […] Recovery time for a finger or thumb fracture ranges from several weeks to a year. Healing time depends on the extent of the injury and your treatment. Your provider will let you know when it’s safe to use your hand again. […] The outlook varies depending on your age and overall health, as well as the type and severity of the fracture. Finger fractures and thumb fractures generally heal very well after treatment, but you may require physical therapy to regain motion, which is critical to a successful outcome.
  • #71 Epidemiology of hand fractures at a tertiary care setting in Saudi Arabia | Saudi Medical Journal
    https://smj.org.sa/content/40/7/732
    Objectives: To examine the epidemiology of hand fractures including common bones affected, causes, interventions, outcomes, and complications. […] In this study of hand fractures, patients were predominantly males and the main causes of fractures were falls and road traffic accidents. […] Despite the high traumatic burden, epidemiologic data of different fractures including hand fractures in Saudi patients are scarce. […] Falls on the hands were the most frequent cause of hand fractures (40.5%), followed by road traffic accidents (20.3%), crush injuries (9.5%), and machinery injuries (9.5%). […] Most of the patients had only one hospital visit (89.0%) and underwent surgical interventions (90.1%), which mostly involved a single surgery (93.2%) under general anaesthesia (83.3%). […] A majority of the patients in the current study were treated operatively. The higher rate of surgical interventions in the current study was probably due to the higher rate of open fractures: 30% compared with 10% in previous studies. […] Management of hand fractures in our patients was successful; only 15% of fractures developed complications during management.
  • #72 Epidemiology of hand fractures at a tertiary care setting in Saudi Arabia | Saudi Medical Journal
    https://smj.org.sa/content/40/7/732
    Objectives: To examine the epidemiology of hand fractures including common bones affected, causes, interventions, outcomes, and complications. […] In this study of hand fractures, patients were predominantly males and the main causes of fractures were falls and road traffic accidents. […] Despite the high traumatic burden, epidemiologic data of different fractures including hand fractures in Saudi patients are scarce. […] Falls on the hands were the most frequent cause of hand fractures (40.5%), followed by road traffic accidents (20.3%), crush injuries (9.5%), and machinery injuries (9.5%). […] Most of the patients had only one hospital visit (89.0%) and underwent surgical interventions (90.1%), which mostly involved a single surgery (93.2%) under general anaesthesia (83.3%). […] A majority of the patients in the current study were treated operatively. The higher rate of surgical interventions in the current study was probably due to the higher rate of open fractures: 30% compared with 10% in previous studies. […] Management of hand fractures in our patients was successful; only 15% of fractures developed complications during management.
  • #73 Epidemiology of hand fractures at a tertiary care setting in Saudi Arabia | Saudi Medical Journal
    https://smj.org.sa/content/40/7/732
    Objectives: To examine the epidemiology of hand fractures including common bones affected, causes, interventions, outcomes, and complications. […] In this study of hand fractures, patients were predominantly males and the main causes of fractures were falls and road traffic accidents. […] Despite the high traumatic burden, epidemiologic data of different fractures including hand fractures in Saudi patients are scarce. […] Falls on the hands were the most frequent cause of hand fractures (40.5%), followed by road traffic accidents (20.3%), crush injuries (9.5%), and machinery injuries (9.5%). […] Most of the patients had only one hospital visit (89.0%) and underwent surgical interventions (90.1%), which mostly involved a single surgery (93.2%) under general anaesthesia (83.3%). […] A majority of the patients in the current study were treated operatively. The higher rate of surgical interventions in the current study was probably due to the higher rate of open fractures: 30% compared with 10% in previous studies. […] Management of hand fractures in our patients was successful; only 15% of fractures developed complications during management.
  • #74 Epidemiology of hand fractures at a tertiary care setting in Saudi Arabia | Saudi Medical Journal
    https://smj.org.sa/content/40/7/732
    Objectives: To examine the epidemiology of hand fractures including common bones affected, causes, interventions, outcomes, and complications. […] In this study of hand fractures, patients were predominantly males and the main causes of fractures were falls and road traffic accidents. […] Despite the high traumatic burden, epidemiologic data of different fractures including hand fractures in Saudi patients are scarce. […] Falls on the hands were the most frequent cause of hand fractures (40.5%), followed by road traffic accidents (20.3%), crush injuries (9.5%), and machinery injuries (9.5%). […] Most of the patients had only one hospital visit (89.0%) and underwent surgical interventions (90.1%), which mostly involved a single surgery (93.2%) under general anaesthesia (83.3%). […] A majority of the patients in the current study were treated operatively. The higher rate of surgical interventions in the current study was probably due to the higher rate of open fractures: 30% compared with 10% in previous studies. […] Management of hand fractures in our patients was successful; only 15% of fractures developed complications during management.
  • #75 Epidemiology of hand fractures at a tertiary care setting in Saudi Arabia | Saudi Medical Journal
    https://smj.org.sa/content/40/7/732
    Objectives: To examine the epidemiology of hand fractures including common bones affected, causes, interventions, outcomes, and complications. […] In this study of hand fractures, patients were predominantly males and the main causes of fractures were falls and road traffic accidents. […] Despite the high traumatic burden, epidemiologic data of different fractures including hand fractures in Saudi patients are scarce. […] Falls on the hands were the most frequent cause of hand fractures (40.5%), followed by road traffic accidents (20.3%), crush injuries (9.5%), and machinery injuries (9.5%). […] Most of the patients had only one hospital visit (89.0%) and underwent surgical interventions (90.1%), which mostly involved a single surgery (93.2%) under general anaesthesia (83.3%). […] A majority of the patients in the current study were treated operatively. The higher rate of surgical interventions in the current study was probably due to the higher rate of open fractures: 30% compared with 10% in previous studies. […] Management of hand fractures in our patients was successful; only 15% of fractures developed complications during management.
  • #76 Broken Finger or Broken Thumb: Symptoms & Recovery Time
    https://my.clevelandclinic.org/health/diseases/21784-broken-finger
    To diagnose a broken finger or thumb, your provider will examine you and ask about your symptoms. They may check whether your injured finger angles in the wrong direction, looks shorter than your other fingers, or overlaps with your other fingers. […] Finger fracture treatment depends on the location and severity of the fracture, as well as whether or not the fracture is displaced or nondisplaced. […] You may need surgery for a fractured finger or fractured thumb if you have an injury that involves a joint, loose bone fragments, multiple fractures, tendon or ligament damage, or unstable fractures that a splint can’t support. […] Recovery time for a finger or thumb fracture ranges from several weeks to a year. Healing time depends on the extent of the injury and your treatment. Your provider will let you know when it’s safe to use your hand again. […] The outlook varies depending on your age and overall health, as well as the type and severity of the fracture. Finger fractures and thumb fractures generally heal very well after treatment, but you may require physical therapy to regain motion, which is critical to a successful outcome.
  • #77 Broken Finger or Broken Thumb: Symptoms & Recovery Time
    https://my.clevelandclinic.org/health/diseases/21784-broken-finger
    To diagnose a broken finger or thumb, your provider will examine you and ask about your symptoms. They may check whether your injured finger angles in the wrong direction, looks shorter than your other fingers, or overlaps with your other fingers. […] Finger fracture treatment depends on the location and severity of the fracture, as well as whether or not the fracture is displaced or nondisplaced. […] You may need surgery for a fractured finger or fractured thumb if you have an injury that involves a joint, loose bone fragments, multiple fractures, tendon or ligament damage, or unstable fractures that a splint can’t support. […] Recovery time for a finger or thumb fracture ranges from several weeks to a year. Healing time depends on the extent of the injury and your treatment. Your provider will let you know when it’s safe to use your hand again. […] The outlook varies depending on your age and overall health, as well as the type and severity of the fracture. Finger fractures and thumb fractures generally heal very well after treatment, but you may require physical therapy to regain motion, which is critical to a successful outcome.
  • #78 Common Finger Fractures and Dislocations | AAFP
    https://www.aafp.org/pubs/afp/issues/2012/0415/p805.html
    Finger fractures and dislocations are common injuries that are often managed by family physicians. […] Finger fractures and dislocations may occur during daily activities, such as work, but usually occur during participation in sporting activities. Finger and metacarpal fractures are the most common sports-related fractures in adults and adolescents. If not treated properly, finger fractures and dislocations can have significant consequences, including poor function, chronic pain, stiffness, and deformity. […] The PIP joint is the most commonly dislocated finger joint. Injuries to the MCP joint often occur in the thumbs. Dislocations of DIP joints are commonly traumatic and often complicated by fracture and soft tissue injury. […] Failure to identify and appropriately treat these fractures can lead to long-term reduced function and disability.
  • #79 Finger Fractures – OrthoInfo – AAOS
    https://orthoinfo.aaos.org/en/diseases–conditions/finger-fractures/
    Although the bones in the fingers are small, a broken (fractured) finger is not a minor injury. […] Without appropriate treatment, your broken finger may end up misaligned, stiff, or painful. […] Generally, a fractured finger occurs as the result of an injury to the hand. […] Fractures of the metacarpal bone that attaches your little finger to your hand, which account for about one-third of all hand fractures in adults, are typically caused by a punching force (these are known as „boxer’s fractures”). […] Fractures that involve the CMC, MCP, or IP joints are particularly worrisome and very often require surgery. […] When these fractures are not treated promptly and adequately, they can lead to substantial finger dysfunction and long-term consequences, such as arthritis. […] If you suspect you have a finger fracture, seek treatment as soon as possible. The sooner a fracture is addressed by a doctor, the better the outcome will likely be.
  • #80 Finger Fractures – OrthoInfo – AAOS
    https://orthoinfo.aaos.org/en/diseases–conditions/finger-fractures/
    Although the bones in the fingers are small, a broken (fractured) finger is not a minor injury. […] Without appropriate treatment, your broken finger may end up misaligned, stiff, or painful. […] Generally, a fractured finger occurs as the result of an injury to the hand. […] Fractures of the metacarpal bone that attaches your little finger to your hand, which account for about one-third of all hand fractures in adults, are typically caused by a punching force (these are known as „boxer’s fractures”). […] Fractures that involve the CMC, MCP, or IP joints are particularly worrisome and very often require surgery. […] When these fractures are not treated promptly and adequately, they can lead to substantial finger dysfunction and long-term consequences, such as arthritis. […] If you suspect you have a finger fracture, seek treatment as soon as possible. The sooner a fracture is addressed by a doctor, the better the outcome will likely be.
  • #81 First (thumb) metacarpal fractures – UpToDate
    https://www.uptodate.com/contents/first-thumb-metacarpal-fractures
    Metacarpal fractures are common. They account for 30 to 40 percent of all hand fractures. First metacarpal (thumb) fractures make up almost 25 percent of all metacarpal fractures, placing them second only to fifth metacarpal neck (ie, „boxers”) fractures in terms of frequency. Of the fractures of the first metacarpal, over 80 percent involve the base. […] Thumb fractures overall occur most commonly in children under age 16 and adults over age 65, but thumb metacarpal fractures occur most often among younger males (10 to 29 years old). They are commonly caused by falls and direct trauma secondary to sports, bicycle accidents, and from punching solid objects.
  • #82 Epidemiology and Specific Challenges | Musculoskeletal Key
    https://musculoskeletalkey.com/epidemiology-and-specific-challenges/
    Knowing the epidemiology of hand fractures can aid in clinical care by recognizing the types of fractures and the mechanisms of injury that commonly affect each age group. The incidence of hand and wrist fractures continues to rise, particularly in adolescents, owing to increased participation in competitive sports. Metacarpal fractures have the highest incidence in 10- to 20-year-olds and phalangeal fractures have the highest incidence in 11-to 15-year-olds. […] However, in individuals older than 65 years, excluding metacarpal fractures, the thumb is the most commonly injured digit. […] Knowing the epidemiology of hand fractures can aid in clinical care by recognizing the types of fractures that commonly affect each age group and the mechanisms of injury that cause different fractures. […] In phalangeal fractures, for most age groups, the thumb is the second most commonly fractured digit after the small finger. However, in individuals older than 65 years of age, excluding metacarpal fractures, the thumb was the most commonly injured digit (33% of hand fractures in this age group).
  • #83 First (thumb) metacarpal fractures – UpToDate
    https://www.uptodate.com/contents/first-thumb-metacarpal-fractures
    Metacarpal fractures are common. They account for 30 to 40 percent of all hand fractures. First metacarpal (thumb) fractures make up almost 25 percent of all metacarpal fractures, placing them second only to fifth metacarpal neck (ie, „boxers”) fractures in terms of frequency. Of the fractures of the first metacarpal, over 80 percent involve the base. […] Thumb fractures overall occur most commonly in children under age 16 and adults over age 65, but thumb metacarpal fractures occur most often among younger males (10 to 29 years old). They are commonly caused by falls and direct trauma secondary to sports, bicycle accidents, and from punching solid objects.
  • #84 First (thumb) metacarpal fractures – UpToDate
    https://www.uptodate.com/contents/first-thumb-metacarpal-fractures
    Metacarpal fractures are common. They account for 30 to 40 percent of all hand fractures. First metacarpal (thumb) fractures make up almost 25 percent of all metacarpal fractures, placing them second only to fifth metacarpal neck (ie, „boxers”) fractures in terms of frequency. Of the fractures of the first metacarpal, over 80 percent involve the base. […] Thumb fractures overall occur most commonly in children under age 16 and adults over age 65, but thumb metacarpal fractures occur most often among younger males (10 to 29 years old). They are commonly caused by falls and direct trauma secondary to sports, bicycle accidents, and from punching solid objects.
  • #85 First (thumb) metacarpal fractures – UpToDate
    https://www.uptodate.com/contents/first-thumb-metacarpal-fractures
    Metacarpal fractures are common. They account for 30 to 40 percent of all hand fractures. First metacarpal (thumb) fractures make up almost 25 percent of all metacarpal fractures, placing them second only to fifth metacarpal neck (ie, „boxers”) fractures in terms of frequency. Of the fractures of the first metacarpal, over 80 percent involve the base. […] Thumb fractures overall occur most commonly in children under age 16 and adults over age 65, but thumb metacarpal fractures occur most often among younger males (10 to 29 years old). They are commonly caused by falls and direct trauma secondary to sports, bicycle accidents, and from punching solid objects.
  • #86 First (thumb) metacarpal fractures – UpToDate
    https://www.uptodate.com/contents/first-thumb-metacarpal-fractures
    Metacarpal fractures are common. They account for 30 to 40 percent of all hand fractures. First metacarpal (thumb) fractures make up almost 25 percent of all metacarpal fractures, placing them second only to fifth metacarpal neck (ie, „boxers”) fractures in terms of frequency. Of the fractures of the first metacarpal, over 80 percent involve the base. […] Thumb fractures overall occur most commonly in children under age 16 and adults over age 65, but thumb metacarpal fractures occur most often among younger males (10 to 29 years old). They are commonly caused by falls and direct trauma secondary to sports, bicycle accidents, and from punching solid objects.
  • #87 Epidemiology and Specific Challenges | Musculoskeletal Key
    https://musculoskeletalkey.com/epidemiology-and-specific-challenges/
    Knowing the epidemiology of hand fractures can aid in clinical care by recognizing the types of fractures and the mechanisms of injury that commonly affect each age group. The incidence of hand and wrist fractures continues to rise, particularly in adolescents, owing to increased participation in competitive sports. Metacarpal fractures have the highest incidence in 10- to 20-year-olds and phalangeal fractures have the highest incidence in 11-to 15-year-olds. […] However, in individuals older than 65 years, excluding metacarpal fractures, the thumb is the most commonly injured digit. […] Knowing the epidemiology of hand fractures can aid in clinical care by recognizing the types of fractures that commonly affect each age group and the mechanisms of injury that cause different fractures. […] In phalangeal fractures, for most age groups, the thumb is the second most commonly fractured digit after the small finger. However, in individuals older than 65 years of age, excluding metacarpal fractures, the thumb was the most commonly injured digit (33% of hand fractures in this age group).
  • #88 Epibasal fracture of the thumb | Radiology Reference Article | Radiopaedia.org
    https://radiopaedia.org/articles/1291?embed_domain=external.radpair.com%27%5B0%5D%27%5B0%5D
    Epibasal fracture of the thumb accounts for approximately 3% of all hand fractures and 16% of metacarpal fractures and is mostly (80%) seen in young men. […] It is important to distinguish them from intra-articular fractures (e.g. Bennett fracture-dislocation or Rolando fracture), which are usually unstable and require surgery.
  • #89 Epibasal fracture of the thumb | Radiology Reference Article | Radiopaedia.org
    https://radiopaedia.org/articles/1291?embed_domain=external.radpair.com%27%5B0%5D%27%5B0%5D
    Epibasal fracture of the thumb accounts for approximately 3% of all hand fractures and 16% of metacarpal fractures and is mostly (80%) seen in young men. […] It is important to distinguish them from intra-articular fractures (e.g. Bennett fracture-dislocation or Rolando fracture), which are usually unstable and require surgery.
  • #90 Broken Knuckle on Finger: Symptoms, Diagnosis, and Treatment
    https://www.healthline.com/health/broken-knuckle
    Broken knuckles, also known as metacarpal fractures, are common. They account for approximately 18 to 44 percent of all hand fractures. Just over three-quarters of all knuckle fractures occur among men, and they are more common among teens and young adults. […] A broken knuckle requires medical treatment. […] With treatment, most broken knuckles heal well.
  • #91 Broken Knuckle on Finger: Symptoms, Diagnosis, and Treatment
    https://www.healthline.com/health/broken-knuckle
    Broken knuckles, also known as metacarpal fractures, are common. They account for approximately 18 to 44 percent of all hand fractures. Just over three-quarters of all knuckle fractures occur among men, and they are more common among teens and young adults. […] A broken knuckle requires medical treatment. […] With treatment, most broken knuckles heal well.
  • #92 Broken Knuckle on Finger: Symptoms, Diagnosis, and Treatment
    https://www.healthline.com/health/broken-knuckle
    Broken knuckles, also known as metacarpal fractures, are common. They account for approximately 18 to 44 percent of all hand fractures. Just over three-quarters of all knuckle fractures occur among men, and they are more common among teens and young adults. […] A broken knuckle requires medical treatment. […] With treatment, most broken knuckles heal well.
  • #93 Broken Knuckle on Finger: Symptoms, Diagnosis, and Treatment
    https://www.healthline.com/health/broken-knuckle
    Broken knuckles, also known as metacarpal fractures, are common. They account for approximately 18 to 44 percent of all hand fractures. Just over three-quarters of all knuckle fractures occur among men, and they are more common among teens and young adults. […] A broken knuckle requires medical treatment. […] With treatment, most broken knuckles heal well.
  • #94 Finger Fractures – OrthoInfo – AAOS
    https://orthoinfo.aaos.org/en/diseases–conditions/finger-fractures/
    Although the bones in the fingers are small, a broken (fractured) finger is not a minor injury. […] Without appropriate treatment, your broken finger may end up misaligned, stiff, or painful. […] Generally, a fractured finger occurs as the result of an injury to the hand. […] Fractures of the metacarpal bone that attaches your little finger to your hand, which account for about one-third of all hand fractures in adults, are typically caused by a punching force (these are known as „boxer’s fractures”). […] Fractures that involve the CMC, MCP, or IP joints are particularly worrisome and very often require surgery. […] When these fractures are not treated promptly and adequately, they can lead to substantial finger dysfunction and long-term consequences, such as arthritis. […] If you suspect you have a finger fracture, seek treatment as soon as possible. The sooner a fracture is addressed by a doctor, the better the outcome will likely be.
  • #95 Phalangeal Fractures: Practice Essentials, Functional Anatomy, Sport-Specific Biomechanics
    https://emedicine.medscape.com/article/98322-overview
    In a retrospective study that included 1747 adults with phalangeal fractures, Moura et al reported that these injuries most often occurred in the small finger (26%), followed by the ring finger (24%), middle finger (19%), and thumb and index finger (both 16%). The most common fracture site was the phalangeal shaft (36%), followed by the base (32%), tuft (19%), head (6%), neck (4%), and complex multilevel fractures (4%). The majority of phalangeal fractures (65%) occurred in men. […] A retrospective study (N = 245) by Dizin et al of pediatric hand injuries requiring emergency surgery found that 69% of the injuries occurred at home, 11% at school, and 4% at a sports center. Most of the injuries involved the dorsal aspect, and the fingers were affected more frequently than the hand. The most common lesion (36% of cases) was a crush injury of a distal phalanx. Fractures and dislocations accounted for 12% of cases.
  • #96 Epidemiology of pediatric hand fractures presenting to a university hospital in Central Saudi Arabia | Saudi Medical Journal
    https://smj.org.sa/content/36/5/587
    Objectives: To investigate the epidemiology of pediatric hand fractures and to provide recommendations regarding prevention. […] The most common causes of fractures were: door slams in the 1-8 years age group; falls at home, in the 9-12 years age group; and both falls at home and sports in the oldest age group (13-18 years). […] Our series showed that most hand fractures in children occurred at home, which requires reevaluation of home settings. […] A better understanding of the epidemiology of hand fractures in the pediatric age group is essential for effective preventive strategies development. […] Findings of the present study show that pediatric hand fractures in Saudi Arabia should be classified into 3 age groups (1-8 years, 9-12 years, and 13-18 years) to target fracture prevention.
  • #97 Phalangeal Fractures: Practice Essentials, Functional Anatomy, Sport-Specific Biomechanics
    https://emedicine.medscape.com/article/98322-overview
    In a retrospective study that included 1747 adults with phalangeal fractures, Moura et al reported that these injuries most often occurred in the small finger (26%), followed by the ring finger (24%), middle finger (19%), and thumb and index finger (both 16%). The most common fracture site was the phalangeal shaft (36%), followed by the base (32%), tuft (19%), head (6%), neck (4%), and complex multilevel fractures (4%). The majority of phalangeal fractures (65%) occurred in men. […] A retrospective study (N = 245) by Dizin et al of pediatric hand injuries requiring emergency surgery found that 69% of the injuries occurred at home, 11% at school, and 4% at a sports center. Most of the injuries involved the dorsal aspect, and the fingers were affected more frequently than the hand. The most common lesion (36% of cases) was a crush injury of a distal phalanx. Fractures and dislocations accounted for 12% of cases.
  • #98 Phalangeal Fractures: Practice Essentials, Functional Anatomy, Sport-Specific Biomechanics
    https://emedicine.medscape.com/article/98322-overview
    In a retrospective study that included 1747 adults with phalangeal fractures, Moura et al reported that these injuries most often occurred in the small finger (26%), followed by the ring finger (24%), middle finger (19%), and thumb and index finger (both 16%). The most common fracture site was the phalangeal shaft (36%), followed by the base (32%), tuft (19%), head (6%), neck (4%), and complex multilevel fractures (4%). The majority of phalangeal fractures (65%) occurred in men. […] A retrospective study (N = 245) by Dizin et al of pediatric hand injuries requiring emergency surgery found that 69% of the injuries occurred at home, 11% at school, and 4% at a sports center. Most of the injuries involved the dorsal aspect, and the fingers were affected more frequently than the hand. The most common lesion (36% of cases) was a crush injury of a distal phalanx. Fractures and dislocations accounted for 12% of cases.
  • #99 Phalangeal Fractures: Practice Essentials, Functional Anatomy, Sport-Specific Biomechanics
    https://emedicine.medscape.com/article/98322-overview
    In a retrospective study that included 1747 adults with phalangeal fractures, Moura et al reported that these injuries most often occurred in the small finger (26%), followed by the ring finger (24%), middle finger (19%), and thumb and index finger (both 16%). The most common fracture site was the phalangeal shaft (36%), followed by the base (32%), tuft (19%), head (6%), neck (4%), and complex multilevel fractures (4%). The majority of phalangeal fractures (65%) occurred in men. […] A retrospective study (N = 245) by Dizin et al of pediatric hand injuries requiring emergency surgery found that 69% of the injuries occurred at home, 11% at school, and 4% at a sports center. Most of the injuries involved the dorsal aspect, and the fingers were affected more frequently than the hand. The most common lesion (36% of cases) was a crush injury of a distal phalanx. Fractures and dislocations accounted for 12% of cases.
  • #100 Epidemiology of pediatric hand fractures presenting to a university hospital in Central Saudi Arabia | Saudi Medical Journal
    https://smj.org.sa/content/36/5/587
    Objectives: To investigate the epidemiology of pediatric hand fractures and to provide recommendations regarding prevention. […] The most common causes of fractures were: door slams in the 1-8 years age group; falls at home, in the 9-12 years age group; and both falls at home and sports in the oldest age group (13-18 years). […] Our series showed that most hand fractures in children occurred at home, which requires reevaluation of home settings. […] A better understanding of the epidemiology of hand fractures in the pediatric age group is essential for effective preventive strategies development. […] Findings of the present study show that pediatric hand fractures in Saudi Arabia should be classified into 3 age groups (1-8 years, 9-12 years, and 13-18 years) to target fracture prevention.
  • #101 Finger fractures: Epidemiology and treatment based on 21341 fractures from the Swedish Fracture register
    https://pmc.ncbi.nlm.nih.gov/articles/PMC10348528/
    There is a lack of detailed epidemiological studies of finger fractures, the most common fracture of the upper extremity. […] Based on data of 21 341 finger fractures in the Swedish Fracture register, a national quality registry that collects data on all fractures, this study describes anatomical distribution, cause, treatment, age distribution, and result in terms of patient related outcome measures (PROMs). […] 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.
  • #102 Finger fractures: Epidemiology and treatment based on 21341 fractures from the Swedish Fracture register
    https://pmc.ncbi.nlm.nih.gov/articles/PMC10348528/
    The SFR data represents the majority of the centers treating fractures in Sweden and can provide a broad and accurate epidemiological picture of finger fractures. […] 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.
  • #103 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
    Finger fractures are the most common fractures in 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. […] 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.
  • #104 Epidemiology of pediatric hand fractures presenting to a university hospital in Central Saudi Arabia | Saudi Medical Journal
    https://smj.org.sa/content/36/5/587
    Objectives: To investigate the epidemiology of pediatric hand fractures and to provide recommendations regarding prevention. […] The most common causes of fractures were: door slams in the 1-8 years age group; falls at home, in the 9-12 years age group; and both falls at home and sports in the oldest age group (13-18 years). […] Our series showed that most hand fractures in children occurred at home, which requires reevaluation of home settings. […] A better understanding of the epidemiology of hand fractures in the pediatric age group is essential for effective preventive strategies development. […] Findings of the present study show that pediatric hand fractures in Saudi Arabia should be classified into 3 age groups (1-8 years, 9-12 years, and 13-18 years) to target fracture prevention.
  • #105 Finger Fractures – OrthoInfo – AAOS
    https://orthoinfo.aaos.org/en/diseases–conditions/finger-fractures/
    Although the bones in the fingers are small, a broken (fractured) finger is not a minor injury. […] Without appropriate treatment, your broken finger may end up misaligned, stiff, or painful. […] Generally, a fractured finger occurs as the result of an injury to the hand. […] Fractures of the metacarpal bone that attaches your little finger to your hand, which account for about one-third of all hand fractures in adults, are typically caused by a punching force (these are known as „boxer’s fractures”). […] Fractures that involve the CMC, MCP, or IP joints are particularly worrisome and very often require surgery. […] When these fractures are not treated promptly and adequately, they can lead to substantial finger dysfunction and long-term consequences, such as arthritis. […] If you suspect you have a finger fracture, seek treatment as soon as possible. The sooner a fracture is addressed by a doctor, the better the outcome will likely be.
  • #106 Finger Fractures – OrthoInfo – AAOS
    https://orthoinfo.aaos.org/en/diseases–conditions/finger-fractures/
    Although the bones in the fingers are small, a broken (fractured) finger is not a minor injury. […] Without appropriate treatment, your broken finger may end up misaligned, stiff, or painful. […] Generally, a fractured finger occurs as the result of an injury to the hand. […] Fractures of the metacarpal bone that attaches your little finger to your hand, which account for about one-third of all hand fractures in adults, are typically caused by a punching force (these are known as „boxer’s fractures”). […] Fractures that involve the CMC, MCP, or IP joints are particularly worrisome and very often require surgery. […] When these fractures are not treated promptly and adequately, they can lead to substantial finger dysfunction and long-term consequences, such as arthritis. […] If you suspect you have a finger fracture, seek treatment as soon as possible. The sooner a fracture is addressed by a doctor, the better the outcome will likely be.