Authors
Lokshina V.V.1, 2, Dubrov V.E.2, Melnikov V.S.1, 3, Sharipova G.S.4, Malofey A.M.5
1 Yudin City Clinical Hospital, Moscow
2 Lomonosov Moscow State University, Moscow
3 Sechenov First Moscow State Medical University, Moscow
4 Pirogov Russian National Research Medical University, Moscow
5 Voronovskoye City Clinical Centre, Moscow
Abstract
Metacarpal fractures account for a third of all hand fractures. These injuries most often occur in patients of working age. However, despite the high prevalence and social significance of metacarpal fractures, no domestic epidemiological studies have been conducted.
Objective. To determine the epidemiological characteristics of a cohort of adult patients requiring surgical treatment for metacarpal fractures.
Materials and methods. An analysis of the clinical histories of patients with II-V fractures of metatarsals, who were treated at the Center for Wrist Surgery and Reconstructive Microsurgery of Yudin City Clinical Hospital in the period from 2022 to 2024. Statistical processing of data obtained was carried out using SPSS Statistics 28.
Results. 1152 patients with 1346 bone fractures were evaluated. According to the results of the analysis, it was revealed that the most traumatized is the V metatarsal bone in the subcapitular and diaphyseal divisions. The majority of injuries are suffered by men between 20 and 40 years old. The calendar and seasonal dependence of metacarpal fractures was determined – the greatest number of injuries occurred on weekends, with a peak in summer. Determined the leading mechanism of injury.
Conclusion. For the first time, domestic epidemiological data characterizing fractures of II-V metatarsals were comparable with foreign ones. The identified dependencies make it possible to better organize the work of the trauma department and to disperse the workload on the staff.
Keywords: bone fractures, epidemiology, bone fracture osteosynthesis, operative treatment of bone fractures.
References
1. Nakashian MN, Pointer L, Owens BD, Wolf JM. Incidence of metacarpal fractures in the US population. Hand (NY). 2012; 7(4): 426-430. doi: 10.1007/s11552-012-9442-0.
2. Weum S, Millerjord S, de Weerd L. The distribution of hand fractures at the university hospital of north Norway. J Plast Surg Hand Surg. 2016; 50(3): 146-150. doi: 10.3109/2000656X.2015.1137923.
3. Perelom na urovne zapyast’ya i kisti (S62) // MKB-10. Mezhdunarodnaya klassifikatsiya boleznei 10-go peresmotra. Prinyata 43-i Vsemirnoi Assambleei zdravookhraneniya s izm. i dop. VOZ. Available from: https://mkb-10.com/index.php?pid=18455. (In Russ).
4. NC53.3 Perelom pyastnoi kosti // MKB-11 dlya vedeniya statistiki smertnosti i zabolevaemosti. Available from: https://icd.who.int/browse/2025-01/mms/ru#1929919042.
5. Hand – Metacarpals [Internet] // Aofoundation.org: site. Available from: https://stg.surgeryreference.aofoundation.org/orthopedic-trauma/adult-trauma/metacarpals.
6. Alhumaid FA, Alturki ST, Alshareef SH, et al. Epidemiology of hand fractures at a tertiary care setting in Saudi Arabia. Saudi Med J. 2019; 40(7): 732-736. doi: 10.15537/smj.2019.7.24286.
7. Lim JX, Le LAT, Yeh JZY, et al. The epidemiology and distribution of hand fractures in Singapore. Singapore Med J. 2025; 66(9): 476-480. doi: 10.4103/singaporemedj.SMJ-2021-334.
8. MacDermid JC, McClure JA, Richard L, et al. Fracture profiles of a 4-year cohort of 266,324 first incident upper extremity fractures from population health data in Ontario. BMC Musculoskelet Disord. 2021; 22(1): 996. doi: 10.1186/s12891-021-04849-7.
9. Dominguez-Prado DM, Ferradas-Garcia L, Perez-Alfonso E, et. al. Epidemiology of Bone Fractures in the Hand in Adult Population Using the ICD-10 Classification. Epidemiologie zlomenin kostí ruky dospělých s využitím klasifikace ICD-10. Acta Chir Orthop Traumatol Cech. 2022; 89(4): 252-259.
