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首页> 外文期刊>The Journal of hand surgery, European volume >THE EPIDEMIOLOGY OF FRACTURES OF THE HAND AND THE INFLUENCE OF SOCIAL DEPRIVATION
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THE EPIDEMIOLOGY OF FRACTURES OF THE HAND AND THE INFLUENCE OF SOCIAL DEPRIVATION

机译：手部骨折的流行病学和社会偏见的影响

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摘要

This study investigates the relationship between the epidemiology of hand fractures and social deprivation. Data were collected prospectively in a single trauma unit serving a well-defined population. The 1382 patients treated for 1569 fractures of the metacarpals or phalanges represented an incidence of hand fracture of 3.7 per 1000 per year for men and 1.3 per 1000 per year for women. Deprivation was not directly associated with the incidence of hand fracture. Common mechanisms of injury are gender specific. Fractures of the little finger metacarpal were common (27% of the total) and were associated with social deprivation in men (P = 0.017). For women, fractures where the mechanism of injury was unclear or the patient was intoxicated and could not recall the mechanism showed a clear association with deprivation. Affluent patients were more likely to receive operative treatment. Social deprivation influences both the pattern and management of hand fractures.
机译：本研究调查了手部骨折的流行病学与社会剥夺之间的关系。在为定义明确的人群服务的单个创伤部门中前瞻性收集数据。治疗了1569例掌骨或指骨骨折的1382例患者中，男性每年每1000人中有3.7例发生手部骨折，女性每年每1000中有1.3例发生手部骨折。剥夺与手部骨折的发生没有直接关系。常见的伤害机制是针对性别的。小指掌骨骨折是常见的（占总数的27％），并与男性的社会剥夺有关（P = 0.017）。对于女性来说，骨折的损伤机制不清楚或患者陶醉并且无法回忆起其骨折机制与剥夺明显相关。富裕患者更有可能接受手术治疗。社会剥夺影响手部骨折的类型和管理。

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