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腕骨骨折:来自瑞典骨折登记处的 6542 例骨折的流行病学、分类和治疗。

Carpal fractures: epidemiology, classification and treatment of 6542 fractures from the Swedish Fracture Registry.

机构信息

Department of Hand Surgery, Institute of Clinical Sciences, Sahlgrenska University Hospital and University of Gothenburg, Gothenburg, Sweden.

Karolinska Institute, Department of Clinical Science and Education, Stockholm South General Hospital (Södersjukhuset), Stockholm, Sweden.

出版信息

J Hand Surg Eur Vol. 2024 Apr;49(4):470-476. doi: 10.1177/17531934231202012. Epub 2023 Sep 25.

Abstract

This study describes the age and sex distribution, trauma mechanism, treatment and influence of patient-reported outcomes of 6542 carpal fractures from the Swedish Fracture Registry (SFR). The most commonly fractured carpal bone was the scaphoid (60%), followed by the triquetrum (25%), hamate (5%) and trapezium (4%). The mean age at injury was 41 years, and 69% of patients were male. The age and sex distribution of carpal fractures differed substantially between the different carpal bones. Men were more likely to sustain a carpal fracture after high-energy trauma and were more likely to be treated surgically. Carpal fractures had a small negative effect on the Short Musculoskeletal Function Assessment Hand/Arm Index and EQ-5D scores 1 year after the injury. IV.

摘要

本研究描述了来自瑞典骨折登记处(SFR)的 6542 例腕骨骨折的年龄和性别分布、创伤机制、治疗方法以及患者报告结局的影响。最常见的骨折腕骨是舟状骨(60%),其次是三角骨(25%)、钩骨(5%)和大多角骨(4%)。受伤时的平均年龄为 41 岁,69%的患者为男性。不同腕骨的年龄和性别分布差异很大。男性在高能量创伤后更易发生腕骨骨折,且更可能接受手术治疗。腕骨骨折在手/臂指数和 EQ-5D 评分 1 年后对短肌肉骨骼功能评估的影响较小。IV。

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