El-Hadidy Samah Saleh, El-Gilany Abdel-Hady, Nour Khalid, Elsherbeny Enas, Hamied Abdel Hamied Abdel
1 Department of Public Health and Community Medicine, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
2 Department of Orthopedic Surgery, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Toxicol Ind Health. 2019 Mar;35(3):248-255. doi: 10.1177/0748233719831125.
Metacarpal fractures of the hand occur in active and working population.
The objective of this article is to compare between occupational and non occupational metacarpal fractures.
This is a cross-sectional comparative study with prospective components among patients with metacarpal fractures admitted to the Mansoura University Emergency Hospital in a 6-month period. Data were collected using a questionnaire that included personal and occupational histories and accident analysis. Clinical and radiological assessment of healing was done by DASH score and handgrip strength. Disability was estimated according to the Egyptian Labour Law.
Of 149 patients, 56.4% and 43.6% were occupational and non occupational metacarpal fractures, respectively. The independent predictors of occupational metacarpal fracture are less than secondary education (adjusted odds ratio (AOR) = 4.2 (2-8.4)), being married (AOR = 4.2 (2.1-8.5)), and being a male (AOR = 7 (2.5-20)).
Lower education, being married, and being a male are risk factors of occupational metacarpal fractures. Surgery showed better hand function than conservative management.
手部掌骨骨折发生于活跃人群和工作人群中。
本文目的是比较职业性和非职业性掌骨骨折。
这是一项横断面比较研究，对在6个月期间入住曼苏拉大学急诊医院的掌骨骨折患者进行前瞻性研究。使用包含个人和职业病史以及事故分析的问卷收集数据。通过DASH评分和握力对手部愈合进行临床和放射学评估。根据埃及劳动法评估残疾情况。
149例患者中，职业性掌骨骨折和非职业性掌骨骨折分别占56.4%和43.6%。职业性掌骨骨折的独立预测因素为学历低于中学（调整优势比（AOR）=4.2（2 - 8.4））、已婚（AOR = 4.2（2.1 - 8.5））以及男性（AOR = 7（2.5 - 20））。
低学历、已婚和男性是职业性掌骨骨折的危险因素。手术治疗显示出比保守治疗更好的手部功能。
