Observational studyArchives of orthopaedic and trauma surgery2023
Epidemiology of hand injuries that presented to a tertiary care facility in Germany: a study including 435 patients.
Observational study in Archives of orthopaedic and trauma surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
13 citing papers in PubMed, 25 citations in OpenAlex.
- Article
- Adequacy of Emergency Physicians in the Assessment of Hand Injury: A Cross-sectional Study.Plastic and reconstructive surgery. Global open · 2026Article
- Evolving Trends in Traumatic Hand Injury Diagnoses at a University Emergency Department-A 10-Year Analysis.Journal of clinical medicine · 2026Article
- Twisted Minds, Tangled Fingers: Surgical Rescue from Impacted Bolts.Journal of orthopaedic case reports · 2025Article
- Burden, Treatment Patterns, and Functional Recovery of Hand Injuries in a Tertiary Hospital of Eastern India.Journal of orthopaedic case reports · 2025Article
- Calculating Value in Hand and Wrist Care: A Systematic Review on the Current Literature.Journal of hand surgery global online · 2025Article
- The relationship between hand injuries due to occupational accidents and Vitamin D deficiency.African health sciences · 2025Article
- Mandatory Surgeon Skills for Care of the Mutilated Hand.Journal of hand surgery global online · 2025Review
- Patients with intentional punch injuries in the emergency department: a retrospective cohort study.Journal of trauma and injury · 2025Article
- Post-traumatic hand rehabilitation using a powered metacarpal-phalangeal exoskeleton: a pilot study.Journal of neuroengineering and rehabilitation · 2024Article
- [Emergency hand surgery in the course of time : Clinical and economic aspects of inpatient and outpatient cases at a university hospital in the last decade].Unfallchirurgie (Heidelberg, Germany) · 2024Article
- Hand Trauma in Emergency Department Management in Older Adults ≥ 80 Years Old: A Twenty-Year Retrospective Analysis.Geriatrics (Basel, Switzerland) · 2023Article
- Analysis of severe hand trauma injury frequency during "Munich's Oktoberfest" within the last 9 years in comparison to years with absence due to the COVID-19 pandemic.Archives of orthopaedic and trauma surgery · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHand injuries compose up to 30% of all injuries in emergency care. However, there is a lack of epidemiological data reflecting patient or accident-related variables, injury types, injured anatomical structures or trauma localization.
objectiveThe objective of this study is (1) to provide epidemiological information on hand injuries and their patterns and (2) to visualise the frequencies of affected areas of the hand in relation to the most common trauma mechanisms using color-coded heatmaps.
methodsThis prospective single-center observational trial conducted at a surgical emergency department in Germany collected data of hand trauma patients using a standardized documentation form. Demographic data, trauma-related data, diagnostic and therapeutic measures were analyzed. Color-coded heatmaps were generated marking anatomic danger zones.
results435 patients with a mean age of 39.5 were included. Most patients admitted on their own initiative (79%). Leisure and sport injuries were most frequent (75%). Digiti II-V were injured most commonly (43%), followed by metacarpals (19%) and the thumb (14%). Blunt trauma and cuts accounted for most injuries (74%). Hand-graphics depicted color-coded frequencies of the affected areas of the palmar and dorsal aspect of the hand for the most common types of injury, as well as the most frequent circumstances of accident. Elective surgery was recommended in 25% of cases, and hand surgical follow-up was proposed in over 50% of cases.
conclusionsThe dorsal aspect of the hand including the 5th metacarpal, the radial wrist and thenar region, as well as the fingertips of Digiti II/III represent anatomic danger zones to injury of the hand. Due to the large variety of potentially injured structures, diagnosis and treatment is not trivial. Specific training is required for all surgical specialties in emergency care, to increase quality of diagnostic work-up and management of hand injuries.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.