Prevalence of Carpal Fracture in Singapore
Purpose To determine the prevalence of carpal fracture in Singapore, to compare demographic differences between isolated scaphoid and other carpal fractures, and to identify parameters associated with multiple carpal fractures. Methods A total of 149 patients with 162 carpal fractures seen at the Na...
Gespeichert in:
| Veröffentlicht in: | The Journal of hand surgery (American ed.) 2011-02, Vol.36 (2), p.278-283 |
|---|---|
| Hauptverfasser: | , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 283 |
|---|---|
| container_issue | 2 |
| container_start_page | 278 |
| container_title | The Journal of hand surgery (American ed.) |
| container_volume | 36 |
| creator | Dennis, Hey Hwee Weng, MBBS Sze, Alphonsus Chong Khin, MBBS Murphy, Diarmuid, MBBCh |
| description | Purpose To determine the prevalence of carpal fracture in Singapore, to compare demographic differences between isolated scaphoid and other carpal fractures, and to identify parameters associated with multiple carpal fractures. Methods A total of 149 patients with 162 carpal fractures seen at the National University Hospital in 2009 were enrolled into the study. We retrospectively reviewed their case records and radiographic studies. Pertinent demographic data including patient age, gender, occupation, injured wrist, dominant hand, mechanism of injury, and type of carpal fracture were then recorded and statistically analyzed. We also performed a separate analysis of isolated scaphoid versus other carpal fractures and single versus multiple carpal fractures. Results Patients with carpal fracture were predominantly male (132), below 40 years of age (116), and usually right hand dominant (136). The more common occupations were students (30), full-time military national servicemen (24), and construction workers (14). Most presented after a fall on an outstretched hand from standing height (81). The scaphoid was the most common single carpal fracture (99). This was followed by triquetrum (27), hamate (5), pisiform (4), lunate (2), capitate (1), and trapezium (1). No fracture of the trapezoid was encountered. Ten patients had multiple carpal fractures, of which 4 were perilunate fracture dislocations. The mean age and male/female ratio for isolated scaphoid and other carpal fractures was 26 years versus 41 years (p |
| doi_str_mv | 10.1016/j.jhsa.2010.11.009 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_848689475</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>1_s2_0_S0363502310013523</els_id><sourcerecordid>848689475</sourcerecordid><originalsourceid>FETCH-LOGICAL-c440t-46f01b93837e091711158b0677102e7fd23a0593bcdb2c6b7f667756ffbc0aa43</originalsourceid><addsrcrecordid>eNp9kdGK1DAUhoMozjj6Al5Ib0QQOp6TNGkLiyCDo8KCwup1SNOT3XQ77WwyHZi3N2VGF7zwKpB8_8nPdxh7jbBGQPWhW3d30aw5zBe4BqifsCVKgbmSqnjKliCUyCVwsWAvYuwAUkrI52zBkZeqqnHJ3v8IdDQ9DZay0WUbE_amz7bB2MMUKPNDduOHW7MfA71kz5zpI726nCv2a_v55-Zrfv39y7fNp-vcFgUc8kI5wKYWlSgJaiwRUVYNqLJE4FS6lgsDshaNbRtuVVM6ld6kcq6xYEwhVuzdee4-jA8TxYPe-Wip781A4xR1VVSpe1HKRPIzacMYYyCn98HvTDhpBD0r0p2eFelZkUbUSVEKvbmMn5odtX8jf5wk4O0FMNGa3gUzWB8fOVHVIPjc8-rMUZJx9BR0tH4W2fpA9qDb0f-_x8d_4rb3g08_3tOJYjdOYUiaNerINeibeZnzLjFtUUguxG_1L5aC</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>848689475</pqid></control><display><type>article</type><title>Prevalence of Carpal Fracture in Singapore</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals Complete</source><creator>Dennis, Hey Hwee Weng, MBBS ; Sze, Alphonsus Chong Khin, MBBS ; Murphy, Diarmuid, MBBCh</creator><creatorcontrib>Dennis, Hey Hwee Weng, MBBS ; Sze, Alphonsus Chong Khin, MBBS ; Murphy, Diarmuid, MBBCh</creatorcontrib><description>Purpose To determine the prevalence of carpal fracture in Singapore, to compare demographic differences between isolated scaphoid and other carpal fractures, and to identify parameters associated with multiple carpal fractures. Methods A total of 149 patients with 162 carpal fractures seen at the National University Hospital in 2009 were enrolled into the study. We retrospectively reviewed their case records and radiographic studies. Pertinent demographic data including patient age, gender, occupation, injured wrist, dominant hand, mechanism of injury, and type of carpal fracture were then recorded and statistically analyzed. We also performed a separate analysis of isolated scaphoid versus other carpal fractures and single versus multiple carpal fractures. Results Patients with carpal fracture were predominantly male (132), below 40 years of age (116), and usually right hand dominant (136). The more common occupations were students (30), full-time military national servicemen (24), and construction workers (14). Most presented after a fall on an outstretched hand from standing height (81). The scaphoid was the most common single carpal fracture (99). This was followed by triquetrum (27), hamate (5), pisiform (4), lunate (2), capitate (1), and trapezium (1). No fracture of the trapezoid was encountered. Ten patients had multiple carpal fractures, of which 4 were perilunate fracture dislocations. The mean age and male/female ratio for isolated scaphoid and other carpal fractures was 26 years versus 41 years (p<.001) and 13:1 versus 4:1 (p=.036), respectively. A high-energy mechanism of injury was the only parameter associated with multiple carpal fractures (p=.009). Conclusions The prevalence of carpal fracture in our population was consistent with studies performed in other countries. Military conscription was identified as an at-risk activity predisposing to carpal fracture. Isolated scaphoid and other carpal fractures exhibit different demographics in terms of age and gender, which may be related to differences in the mechanism of injury. A high-energy mechanism of injury was associated with multiple carpal fractures.</description><identifier>ISSN: 0363-5023</identifier><identifier>EISSN: 1531-6564</identifier><identifier>DOI: 10.1016/j.jhsa.2010.11.009</identifier><identifier>PMID: 21276891</identifier><identifier>CODEN: JHSUDV</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Accidental Falls ; Accidents, Traffic ; Adolescent ; Adult ; Age Distribution ; Biological and medical sciences ; Carpal Bones - injuries ; Carpal fractures ; Child ; Cohort Studies ; Diseases of the osteoarticular system ; Female ; Fractures, Bone - diagnosis ; Fractures, Bone - epidemiology ; Humans ; Injuries of the limb. Injuries of the spine ; Magnetic Resonance Imaging ; Male ; mechanism of injury ; Medical sciences ; Middle Aged ; Orthopedics ; Prevalence ; referral source ; Retrospective Studies ; Scaphoid Bone - injuries ; scaphoid fractures ; Sex Distribution ; Singapore - epidemiology ; Tomography, X-Ray Computed ; Traumas. Diseases due to physical agents ; Wrist Injuries - diagnosis ; Wrist Injuries - epidemiology ; Young Adult</subject><ispartof>The Journal of hand surgery (American ed.), 2011-02, Vol.36 (2), p.278-283</ispartof><rights>American Society for Surgery of the Hand</rights><rights>2011 American Society for Surgery of the Hand</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2011 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c440t-46f01b93837e091711158b0677102e7fd23a0593bcdb2c6b7f667756ffbc0aa43</citedby><cites>FETCH-LOGICAL-c440t-46f01b93837e091711158b0677102e7fd23a0593bcdb2c6b7f667756ffbc0aa43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0363502310013523$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65534</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23890324$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21276891$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dennis, Hey Hwee Weng, MBBS</creatorcontrib><creatorcontrib>Sze, Alphonsus Chong Khin, MBBS</creatorcontrib><creatorcontrib>Murphy, Diarmuid, MBBCh</creatorcontrib><title>Prevalence of Carpal Fracture in Singapore</title><title>The Journal of hand surgery (American ed.)</title><addtitle>J Hand Surg Am</addtitle><description>Purpose To determine the prevalence of carpal fracture in Singapore, to compare demographic differences between isolated scaphoid and other carpal fractures, and to identify parameters associated with multiple carpal fractures. Methods A total of 149 patients with 162 carpal fractures seen at the National University Hospital in 2009 were enrolled into the study. We retrospectively reviewed their case records and radiographic studies. Pertinent demographic data including patient age, gender, occupation, injured wrist, dominant hand, mechanism of injury, and type of carpal fracture were then recorded and statistically analyzed. We also performed a separate analysis of isolated scaphoid versus other carpal fractures and single versus multiple carpal fractures. Results Patients with carpal fracture were predominantly male (132), below 40 years of age (116), and usually right hand dominant (136). The more common occupations were students (30), full-time military national servicemen (24), and construction workers (14). Most presented after a fall on an outstretched hand from standing height (81). The scaphoid was the most common single carpal fracture (99). This was followed by triquetrum (27), hamate (5), pisiform (4), lunate (2), capitate (1), and trapezium (1). No fracture of the trapezoid was encountered. Ten patients had multiple carpal fractures, of which 4 were perilunate fracture dislocations. The mean age and male/female ratio for isolated scaphoid and other carpal fractures was 26 years versus 41 years (p<.001) and 13:1 versus 4:1 (p=.036), respectively. A high-energy mechanism of injury was the only parameter associated with multiple carpal fractures (p=.009). Conclusions The prevalence of carpal fracture in our population was consistent with studies performed in other countries. Military conscription was identified as an at-risk activity predisposing to carpal fracture. Isolated scaphoid and other carpal fractures exhibit different demographics in terms of age and gender, which may be related to differences in the mechanism of injury. A high-energy mechanism of injury was associated with multiple carpal fractures.</description><subject>Accidental Falls</subject><subject>Accidents, Traffic</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Age Distribution</subject><subject>Biological and medical sciences</subject><subject>Carpal Bones - injuries</subject><subject>Carpal fractures</subject><subject>Child</subject><subject>Cohort Studies</subject><subject>Diseases of the osteoarticular system</subject><subject>Female</subject><subject>Fractures, Bone - diagnosis</subject><subject>Fractures, Bone - epidemiology</subject><subject>Humans</subject><subject>Injuries of the limb. Injuries of the spine</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>mechanism of injury</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Orthopedics</subject><subject>Prevalence</subject><subject>referral source</subject><subject>Retrospective Studies</subject><subject>Scaphoid Bone - injuries</subject><subject>scaphoid fractures</subject><subject>Sex Distribution</subject><subject>Singapore - epidemiology</subject><subject>Tomography, X-Ray Computed</subject><subject>Traumas. Diseases due to physical agents</subject><subject>Wrist Injuries - diagnosis</subject><subject>Wrist Injuries - epidemiology</subject><subject>Young Adult</subject><issn>0363-5023</issn><issn>1531-6564</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kdGK1DAUhoMozjj6Al5Ib0QQOp6TNGkLiyCDo8KCwup1SNOT3XQ77WwyHZi3N2VGF7zwKpB8_8nPdxh7jbBGQPWhW3d30aw5zBe4BqifsCVKgbmSqnjKliCUyCVwsWAvYuwAUkrI52zBkZeqqnHJ3v8IdDQ9DZay0WUbE_amz7bB2MMUKPNDduOHW7MfA71kz5zpI726nCv2a_v55-Zrfv39y7fNp-vcFgUc8kI5wKYWlSgJaiwRUVYNqLJE4FS6lgsDshaNbRtuVVM6ld6kcq6xYEwhVuzdee4-jA8TxYPe-Wip781A4xR1VVSpe1HKRPIzacMYYyCn98HvTDhpBD0r0p2eFelZkUbUSVEKvbmMn5odtX8jf5wk4O0FMNGa3gUzWB8fOVHVIPjc8-rMUZJx9BR0tH4W2fpA9qDb0f-_x8d_4rb3g08_3tOJYjdOYUiaNerINeibeZnzLjFtUUguxG_1L5aC</recordid><startdate>20110201</startdate><enddate>20110201</enddate><creator>Dennis, Hey Hwee Weng, MBBS</creator><creator>Sze, Alphonsus Chong Khin, MBBS</creator><creator>Murphy, Diarmuid, MBBCh</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20110201</creationdate><title>Prevalence of Carpal Fracture in Singapore</title><author>Dennis, Hey Hwee Weng, MBBS ; Sze, Alphonsus Chong Khin, MBBS ; Murphy, Diarmuid, MBBCh</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c440t-46f01b93837e091711158b0677102e7fd23a0593bcdb2c6b7f667756ffbc0aa43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Accidental Falls</topic><topic>Accidents, Traffic</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Age Distribution</topic><topic>Biological and medical sciences</topic><topic>Carpal Bones - injuries</topic><topic>Carpal fractures</topic><topic>Child</topic><topic>Cohort Studies</topic><topic>Diseases of the osteoarticular system</topic><topic>Female</topic><topic>Fractures, Bone - diagnosis</topic><topic>Fractures, Bone - epidemiology</topic><topic>Humans</topic><topic>Injuries of the limb. Injuries of the spine</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>mechanism of injury</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Orthopedics</topic><topic>Prevalence</topic><topic>referral source</topic><topic>Retrospective Studies</topic><topic>Scaphoid Bone - injuries</topic><topic>scaphoid fractures</topic><topic>Sex Distribution</topic><topic>Singapore - epidemiology</topic><topic>Tomography, X-Ray Computed</topic><topic>Traumas. Diseases due to physical agents</topic><topic>Wrist Injuries - diagnosis</topic><topic>Wrist Injuries - epidemiology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dennis, Hey Hwee Weng, MBBS</creatorcontrib><creatorcontrib>Sze, Alphonsus Chong Khin, MBBS</creatorcontrib><creatorcontrib>Murphy, Diarmuid, MBBCh</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of hand surgery (American ed.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dennis, Hey Hwee Weng, MBBS</au><au>Sze, Alphonsus Chong Khin, MBBS</au><au>Murphy, Diarmuid, MBBCh</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence of Carpal Fracture in Singapore</atitle><jtitle>The Journal of hand surgery (American ed.)</jtitle><addtitle>J Hand Surg Am</addtitle><date>2011-02-01</date><risdate>2011</risdate><volume>36</volume><issue>2</issue><spage>278</spage><epage>283</epage><pages>278-283</pages><issn>0363-5023</issn><eissn>1531-6564</eissn><coden>JHSUDV</coden><abstract>Purpose To determine the prevalence of carpal fracture in Singapore, to compare demographic differences between isolated scaphoid and other carpal fractures, and to identify parameters associated with multiple carpal fractures. Methods A total of 149 patients with 162 carpal fractures seen at the National University Hospital in 2009 were enrolled into the study. We retrospectively reviewed their case records and radiographic studies. Pertinent demographic data including patient age, gender, occupation, injured wrist, dominant hand, mechanism of injury, and type of carpal fracture were then recorded and statistically analyzed. We also performed a separate analysis of isolated scaphoid versus other carpal fractures and single versus multiple carpal fractures. Results Patients with carpal fracture were predominantly male (132), below 40 years of age (116), and usually right hand dominant (136). The more common occupations were students (30), full-time military national servicemen (24), and construction workers (14). Most presented after a fall on an outstretched hand from standing height (81). The scaphoid was the most common single carpal fracture (99). This was followed by triquetrum (27), hamate (5), pisiform (4), lunate (2), capitate (1), and trapezium (1). No fracture of the trapezoid was encountered. Ten patients had multiple carpal fractures, of which 4 were perilunate fracture dislocations. The mean age and male/female ratio for isolated scaphoid and other carpal fractures was 26 years versus 41 years (p<.001) and 13:1 versus 4:1 (p=.036), respectively. A high-energy mechanism of injury was the only parameter associated with multiple carpal fractures (p=.009). Conclusions The prevalence of carpal fracture in our population was consistent with studies performed in other countries. Military conscription was identified as an at-risk activity predisposing to carpal fracture. Isolated scaphoid and other carpal fractures exhibit different demographics in terms of age and gender, which may be related to differences in the mechanism of injury. A high-energy mechanism of injury was associated with multiple carpal fractures.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>21276891</pmid><doi>10.1016/j.jhsa.2010.11.009</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0363-5023 |
| ispartof | The Journal of hand surgery (American ed.), 2011-02, Vol.36 (2), p.278-283 |
| issn | 0363-5023 1531-6564 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_848689475 |
| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Accidental Falls Accidents, Traffic Adolescent Adult Age Distribution Biological and medical sciences Carpal Bones - injuries Carpal fractures Child Cohort Studies Diseases of the osteoarticular system Female Fractures, Bone - diagnosis Fractures, Bone - epidemiology Humans Injuries of the limb. Injuries of the spine Magnetic Resonance Imaging Male mechanism of injury Medical sciences Middle Aged Orthopedics Prevalence referral source Retrospective Studies Scaphoid Bone - injuries scaphoid fractures Sex Distribution Singapore - epidemiology Tomography, X-Ray Computed Traumas. Diseases due to physical agents Wrist Injuries - diagnosis Wrist Injuries - epidemiology Young Adult |
| title | Prevalence of Carpal Fracture in Singapore |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-21T18%3A26%3A48IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Prevalence%20of%20Carpal%20Fracture%20in%20Singapore&rft.jtitle=The%20Journal%20of%20hand%20surgery%20(American%20ed.)&rft.au=Dennis,%20Hey%20Hwee%20Weng,%20MBBS&rft.date=2011-02-01&rft.volume=36&rft.issue=2&rft.spage=278&rft.epage=283&rft.pages=278-283&rft.issn=0363-5023&rft.eissn=1531-6564&rft.coden=JHSUDV&rft_id=info:doi/10.1016/j.jhsa.2010.11.009&rft_dat=%3Cproquest_cross%3E848689475%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=848689475&rft_id=info:pmid/21276891&rft_els_id=1_s2_0_S0363502310013523&rfr_iscdi=true |