Aitken Stuart, Court-Brown Charles M
Department of Trauma and Orthopaedics, Royal Infirmary of Edinburgh, Little France, Edinburgh, UK.
Injury. 2008 Dec;39(12):1377-83. doi: 10.1016/j.injury.2008.04.012. Epub 2008 Jul 25.
To describe the incidence and epidemiology of acute sports-related hand fractures in the adult general population.
Retrospective analysis of a prospectively collected database recording all inpatient and outpatient fractures in a well-defined population during 2000.
Department of Trauma and Orthopaedics, Royal Infirmary of Edinburgh, UK.
During 2000, 1430 hand fractures were recorded, 320 of which (22.4%) were sports injuries. Males were more commonly injured (86%). The overall incidence was 60/10(5)(104/10(5) among males and 17/10(5) among females). The average age was 24 years. There were 39 (12.2%) carpal, 108 (33.8%) metacarpal and 173 (54.1%) phalangeal fractures. Damage to the first and fifth rays was most common. Open fractures were uncommon (n=7; 2.2%). Eight sports were responsible for 87.8% of fractures, each sport displaying a characteristic pattern of injury within the hand. The majority of fractures (87.2%) were treated on an outpatient basis.
Sporting activity accounts for 22.4% of all hand fractures, with relatively few requiring operative intervention. Young males are most commonly affected. Certain sports are associated with distinct fracture patterns, allowing appropriate preventive measures to be taken.
描述成年普通人群中急性运动相关手部骨折的发病率及流行病学特征。
对一个前瞻性收集的数据库进行回顾性分析，该数据库记录了2000年特定人群中所有住院和门诊骨折情况。
英国爱丁堡皇家医院创伤与骨科。
2000年共记录了1430例手部骨折，其中320例（22.4%）为运动损伤。男性受伤更为常见（86%）。总体发病率为60/10⁵（男性为104/10⁵，女性为17/10⁵）。平均年龄为24岁。腕骨骨折39例（12.2%），掌骨骨折108例（33.8%），指骨骨折173例（54.1%）。第一和第五掌骨损伤最为常见。开放性骨折不常见（n = 7；2.2%）。8项运动导致了87.8%的骨折，每项运动在手内均呈现出特征性损伤模式。大多数骨折（87.2%）在门诊治疗。
体育活动占所有手部骨折的22.4%，需要手术干预的相对较少。年轻男性受影响最为常见。某些运动与特定的骨折模式相关，可据此采取适当的预防措施。
