Journal article
Evaluation of Isolated Metacarpal Fracture Characteristics: An Analysis of 4441 Consecutive Patients
SurgiColl, v 2(2)
22 Jun 2024
Abstract
Objectives This study aimed to assess the current epidemiologic attributes of isolated metacarpal fractures. Patient and fracture-related characteristics were included. Methods Patients presenting consecutively to a single large academic practice over five years with single acute metacarpal fractures were retrospectively reviewed. Baseline demographics and fracture-specific data were collected, including metacarpal involvement, location (base, neck, shaft), fracture laterality, and displacement. Patient data was compiled using CPT and ICD codes. Results A total of 4441 patients were included. The average patient age was 42.4 (with a standard deviation of 22.2 years), and most patients who were treated for metacarpal fractures in this investigation were men (2848/4441; 64.1%). The average BMI was 26.0 (± 5.87). Metacarpal fractures occurred most frequently on the right hands of patients (2778/4441; 62.6% of all fractures), and 51.7% of all fractures under investigation were displaced (2295/4441). Fractures of the fifth metacarpal were the most common (57.7% of all metacarpal fractures). Fractures of the fourth metacarpal were the second most common (17.0% of all fractures). Subsequently, in descending order of frequency, were third, first, and second metacarpal fractures (9.3%, 9.2%, and 6.5%, respectively). Fractures of the metacarpal shaft were most common by a narrow margin, followed by those of the metacarpal neck (36.5% and 35.1%, respectively). Fractures of the metacarpal base occurred least, but not uncommonly, in this study (27.1%). Conclusions This large-volume practice retrospective review identified the most common isolated metacarpal fracture presentation as the fifth metacarpal fracture in male patients, involving the shaft and neck. Level of Evidence III
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Details
- Title
- Evaluation of Isolated Metacarpal Fracture Characteristics: An Analysis of 4441 Consecutive Patients
- Creators
- Daniel Nemirov - Rothman InstituteAlexis Kasper - Rothman InstituteHassan Siddiqui - Rothman InstituteAsif M Ilyas - Rothman Institute
- Publication Details
- SurgiColl, v 2(2)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Pediatrics
- Other Identifier
- 991021889512504721