PT - JOURNAL ARTICLE AU - Crowe, Christopher Stephen AU - Massenburg, Benjamin Ballard AU - Morrison, Shane Douglas AU - Chang, James AU - Friedrich, Jeffrey Barton AU - Abady, Gdiom Gebreheat AU - Alahdab, Fares AU - Alipour, Vahid AU - Arabloo, Jalal AU - Asaad, Malke AU - Banach, Maciej AU - Bijani, Ali AU - Borzì, Antonio Maria AU - Briko, Nikolay Ivanovich AU - Castle, Chris D AU - Cho, Daniel Youngwhan AU - Chung, Michael T AU - Daryani, Ahmad AU - Demoz, Gebre Teklemariam AU - Dingels, Zachary V AU - Do, Hoa Thi AU - Fischer, Florian AU - Fox, Jack T AU - Fukumoto, Takeshi AU - Gebre, Abadi Kahsu AU - Gebremichael, Berhe AU - Haagsma, Juanita A AU - Haj-Mirzaian, Arvin AU - Handiso, Demelash Woldeyohannes AU - Hay, Simon I AU - Hoang, Chi Linh AU - Irvani, Seyed Sina Naghibi AU - Jozwiak, Jacek Jerzy AU - Kalhor, Rohollah AU - Kasaeian, Amir AU - Khader, Yousef Saleh AU - Khalilov, Rovshan AU - Khan, Ejaz Ahmad AU - Khundkar, Roba AU - Kisa, Sezer AU - Kisa, Adnan AU - Liu, Zichen AU - Majdan, Marek AU - Manafi, Navid AU - Manafi, Ali AU - Manda, Ana-Laura AU - Meretoja, Tuomo J AU - Miller, Ted R AU - Mohammadian-Hafshejani, Abdollah AU - Mohammadpourhodki, Reza AU - Mohseni Bandpei, Mohammad A AU - Mokdad, Ali H AU - Naimzada, Mukhammad David AU - Ndwandwe, Duduzile Edith AU - Nguyen, Cuong Tat AU - Nguyen, Huong Lan Thi AU - Olagunju, Andrew T AU - Olagunju, Tinuke O AU - Pham, Hai Quang AU - Pribadi, Dimas Ria Angga AU - Rabiee, Navid AU - Ramezanzadeh, Kiana AU - Ranganathan, Kavitha AU - Roberts, Nicholas L S AU - Roever, Leonardo AU - Safari, Saeed AU - Samy, Abdallah M AU - Sanchez Riera, Lidia AU - Shahabi, Saeed AU - Smarandache, Catalin-Gabriel AU - Sylte, Dillon O AU - Tesfay, Berhe Etsay AU - Tran, Bach Xuan AU - Ullah, Irfan AU - Vahedi, Parviz AU - Vahedian-Azimi, Amir AU - Vos, Theo AU - Woldeyes, Dawit Habte AU - Wondmieneh, Adam Belay AU - Zhang, Zhi-Jiang AU - James, Spencer L TI - Global trends of hand and wrist trauma: a systematic analysis of fracture and digit amputation using the Global Burden of Disease 2017 Study AID - 10.1136/injuryprev-2019-043495 DP - 2020 Oct 01 TA - Injury Prevention PG - i115--i124 VI - 26 IP - Suppl 2 4099 - http://injuryprevention.bmj.com/content/26/Suppl_2/i115.short 4100 - http://injuryprevention.bmj.com/content/26/Suppl_2/i115.full SO - Inj Prev2020 Oct 01; 26 AB - Background As global rates of mortality decrease, rates of non-fatal injury have increased, particularly in low Socio-demographic Index (SDI) nations. We hypothesised this global pattern of non-fatal injury would be demonstrated in regard to bony hand and wrist trauma over the 27-year study period.Methods The Global Burden of Diseases, Injuries, and Risk Factors Study 2017 was used to estimate prevalence, age-standardised incidence and years lived with disability for hand trauma in 195 countries from 1990 to 2017. Individual injuries included hand and wrist fractures, thumb amputations and non-thumb digit amputations.Results The global incidence of hand trauma has only modestly decreased since 1990. In 2017, the age-standardised incidence of hand and wrist fractures was 179 per 100 000 (95% uncertainty interval (UI) 146 to 217), whereas the less common injuries of thumb and non-thumb digit amputation were 24 (95% UI 17 to 34) and 56 (95% UI 43 to 74) per 100 000, respectively. Rates of injury vary greatly by region, and improvements have not been equally distributed. The highest burden of hand trauma is currently reported in high SDI countries. However, low-middle and middle SDI countries have increasing rates of hand trauma by as much at 25%.Conclusions Certain regions are noted to have high rates of hand trauma over the study period. Low-middle and middle SDI countries, however, have demonstrated increasing rates of fracture and amputation over the last 27 years. This trend is concerning as access to quality and subspecialised surgical hand care is often limiting in these resource-limited regions.