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- Title
Epidemiology of carpal fractures: is it only about the scaphoid?
- Authors
Boeddrich, Olivia; Sander, Anna Lena; Lustenberger, Thomas; Marzi, Ingo; Frank, Johannes; Voth, Maika; Sommer, Katharina
- Abstract
Because of their low incidence, studies about carpal fractures are rare. The aim of the present study was to analyze epidemiology and treatment of fractured carpal bones. We retrospectively analyzed data of 178 patients admitted to our emergency room with carpal fractures over 6 years. More males than woman were injured. In 91%, a CT scan was performed. The most commonly affected bone was the triquetrum followed by the scaphoid. Almost all triquetral fractures were treated conservatively as opposed to perilunate dislocations that were all operated on. Half of all patients with scaphoid fractures were operated. Young men had the highest risk to sustain a carpal fracture. The triquetrum and the scaphoid are most frequently affected. Usually a CT scan is needed. Treatment of scaphoid and perilunate luxation fractures is rather operative whereas the other fractures mostly allow conservative casting. Nevertheless, correct indication for treatment is important to avoid sequelae.
- Subjects
CONSERVATIVE treatment; HOSPITAL emergency services; AGE distribution; RETROSPECTIVE studies; PATIENTS; WRIST injuries; SEX distribution; RISK assessment; EMERGENCY medical services; FRACTURE fixation; SURGICAL plaster casts; COMPUTED tomography; DISEASE risk factors
- Publication
European Journal of Trauma & Emergency Surgery, 2023, Vol 49, Issue 3, p1499
- ISSN
1863-9933
- Publication type
Article
- DOI
10.1007/s00068-022-02213-5