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Journal of Hand Surgery (British and European Volume)
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Articles

Prevalence and Distribution of Hand Fractures

E. B. H. VAN ONSELEN
R. B. KARIM
J. JORIS HAGE
M. J. P. F. RITT

From the Department of Plastic, Reconstructive and Hand Surgery, VU University Medical Centre, Amsterdam, The Netherlands

Correspondence: Dr E.B.H. van Onselen, Department of Plastic, Reconstructive and Hand Surgery, VU University Medical Centre, P.O. Box 7057, NL-1007 MB Amsterdam, The Netherlands. Tel.: +31-20-4443517; Fax:-+31-20-4440151; E-mail: vanonselen{at}vumc.nl

A retrospective survey of the medical charts of all 36,518 patients attending the Accident and Emergency Department of the VU University Medical Centre, in Amsterdam, from January 1 to December 31, 1996 was performed. Of these, 4303 sustained one or more fractures, and hand fractures accounted for 19% of all fractures. Patients with hand fractures were typically men aged between 15 and 35 years. The right hand was involved as often as the left. Most of the hand fractures involved the metacarpals but, as a group of bones, the combined phalanges were most commonly fractured. The little finger ray was most commonly injured of the hand. We found no seasonal variability in the incidence of hand fractures.

Key Words: hand fractures • prevalence and distribution

Journal of Hand Surgery (British and European Volume), Vol. 28, No. 5, 491-495 (2003)
DOI: 10.1016/S0266-7681(03)00103-7
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