ArticleJournal of hand surgery global online2025
The Impact of Social Deprivation on Phalangeal Fracture Operative Treatment Outcomes.
Article in Journal of hand surgery global online, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
6 authors.
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Abstract
Purpose: The purpose of this study was to evaluate the relationship between social determinants of health and outcomes following phalangeal fracture surgery using the Area Deprivation Index. Methods: A retrospective chart review was performed on patients ≥18 years old who underwent surgical fixation of a proximal, middle, or distal phalangeal fracture at our level I trauma center from January 2006 to December 2018. Surgical techniques included open reduction and internal fixation, closed reduction and percutaneous pinning, intramedullary fixation, and external fixation. Patients with multiple fractures or who required nonsurgical treatment were excluded. Demographics, comorbidities, range of motion, visual analog scale pain scores, and Quick Disabilities of the Arm, Shoulder, and Hand ( Results: In total, 194 patients were included. The most deprived group had a greater proportion of Black/African Americans. No significant differences were observed in fracture patterns, surgical technique, or implant utilization. Preoperative pain scores were greater in the most deprived group (6.05 ± 2.61) compared with the least deprived group (3.95 ± 2.80). Postoperative pain was also higher in the most deprived group (2.14 ± 2.46) versus the least deprived group (0.50 ± 0.73). Preoperative Conclusions: Social deprivation may influence preoperative and postoperative pain in phalangeal fracture surgery. Considering socioeconomic factors could help address underlying disparities and enhance patient recovery. Type of study/level of evidence: Prognostic III.
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