Table 2.
Clinically Relevant Fracture Patterns of Fractures Requiring Surgery
| Fracture Pattern | No. Fractures (N = 1,173) | No. Fractures Requiring Surgery (%) | Percentage of All Fractures Requiring Surgery (N = 115) |
|---|---|---|---|
| Phalangeal | 794 | 81 (10.2) | (70.4) |
| Head* and neck† of proximal and middle phalanges | 131 | 44 (33.6) | (38.2) |
| Base of any phalanx‡ | 562 | 18 (3.2) | (15.7) |
| Distal phalanx crush (including nail bed repair) | 64 | 13 (20.3) | (11.3) |
| Middle part of proximal or middle phalanx | 29 | 6 (20.7) | (5.2) |
| Metacarpal | 379 | 34 (9.0) | (29.6) |
| Midshaft of metacarpal | 92 | 19 (20.7) | (16.5) |
| Base of metacarpal§ | 137 | 13 (9.5) | (11.3) |
| Distal metacarpal | 150 | 2 (1.3) | (1.7) |
*Head of phalanx was defined as unicondylar or bicondylar fractures.
†Neck of phalanx fractures included transverse or oblique fractures.
‡Included fracture dislocations, bony mallet fractures, bony UCL thumb fractures, Seymour fractures, and other Salter–Harris II fractures.
§Included Bennet’s fracture, Baby Bennet’s fractures, and non-Bennet’s base of first metacarpal fracture.
UCL, ulnar collateral ligament.