Table 2.
Fold Difference Between 10th and 90th Percentile of Cases for Various Categories in Orthopaedic Hand Surgery Training
| Procedure | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | P | Average Percentage Difference |
| Hand/finger | |||||||||||
| Incision | 4.5 | 4.5 | 4.3 | 4.2 | 5.3 | 4.3 | 4.4 | 4.2 | 4.0 | 0.37 | 442 |
| Excision | 5.8 | 5.8 | 5.8 | 6.0 | 5.8 | 6.0 | 6.5 | 6.3 | 5.8 | 0.21 | 597 |
| Repair/revise/reconstruct | 5.1 | 4.8 | 4.6 | 5.2 | 4.3 | 4.5 | 4.7 | 5.3 | 5.2 | 0.65 | 486 |
| Fracture/dislocation | 4.9 | 5.1 | 5.8 | 4.3 | 5.1 | 5.1 | 4.9 | 4.9 | 4.8 | 0.55 | 499 |
| Amputation | 15.0 | 15.0 | 15.0 | 11.0 | 11.0 | 11.0 | 12.0 | 12.0 | 13.0 | 0.10 | 1,278 |
| Total | 3.3 | 3.1 | 3.1 | 2.8 | 3.1 | 3.2 | 2.8 | 3.1 | 2.9 | 0.20 | 304 |
| Forearm/wrist | |||||||||||
| Incision | 7.0 | 7.0 | 7.0 | 10.0 | 10.0 | 10.0 | 12.0 | 11.0 | 12.0 | <0.01a | 956 |
| Excision | 5.8 | 4.8 | 4.8 | 5.0 | 6.3 | 4.8 | 5.0 | 5.0 | 5.0 | 0.59 | 517 |
| Repair/revise/reconstruct | 7.0 | 6.5 | 6.7 | 6.7 | 6.7 | 7.3 | 5.8 | 6.5 | 6.5 | 0.35 | 663 |
| Fracture/dislocation | 3.2 | 3.2 | 3.2 | 3.0 | 3.0 | 3.1 | 3.1 | 3.1 | 3.0 | 0.07 | 310 |
| Manipulation | 37.5 | 19.3 | 4.2 | 4.0 | 3.6 | 3.5 | 3.7 | 3.7 | 3.6 | 0.03a | 923 |
| Total | 2.7 | 2.6 | 2.3 | 2.4 | 2.2 | 2.3 | 2.2 | 2.3 | 2.2 | <0.01a | 236 |
| Nervous system | |||||||||||
| Neuroplasty | 7.0 | 6.0 | 6.0 | 10.5 | 8.0 | 8.5 | 9.5 | 7.3 | 7.3 | 0.43 | 779 |
| Carpal tunnel | 7.2 | 5.1 | 4.9 | 5.5 | 4.6 | 4.3 | 4.5 | 4.0 | 4.1 | <0.01a | 491 |
| Total | 5.1 | 3.9 | 3.5 | 4.4 | 4.1 | 3.8 | 3.8 | 3.6 | 3.3 | 0.04a | 395 |
a
P < 0.05 denotes significant change over time in each category, as measured by linear regression. N/A = Not applicable.