Global incidence of hand and wrist trauma and digit amputations
| Incident cases in 2017 (95% UI), n × 100 000 | Age-standardised incidence rate (ASIR) in 2017 per 100 000, estimate (95% UI) | Estimated percentage change in ASIR, 1990–2017 | |||||||
| Wrist and hand fractures | Thumb amputation | Non-thumb amputation | Wrist and hand fractures | Thumb amputation | Non-thumb amputation | Wrist and hand fractures | Thumb amputation | Non-thumb amputation | |
| Overall | 137.5 (111.6 to 166.8) | 18.6 (13.3 to 26.1) | 43.0 (33.3 to 56.7) | 178.9 (145.8 to 216.8) | 24.1 (17.4 to 33.9) | 56.0 (43.4 to 74.0) | −2.6 | −4.4 | −3.7 |
| Sex | |||||||||
| Male | 87.4 (72.7 to 104.5) | 12.1 (8.8 to 16.6) | 29.8 (23.3 to 38.7) | 227.0 (118.4 to 271.8) | 31.4 (22.9 to 43.2) | 77.3 (60.6 to 100.2) | −3.2 | −4.6 | −4.3 |
| Female | 50.0 (38.9 to 64.0) | 6.5 (4.4 to 9.7) | 13.2 (9.8 to 18.3) | 129.7 (100.9 to 165.5) | 16.8 (11.5 to 25.2) | 34.5 (25.5 to 48.3) | −0.9 | −2.3 | −2.0 |
| Socio-demographic Index | |||||||||
| Low | 19.6 (16.2 to 23.7) | 2.3 (1.6 to 3.1) | 6.8 (5.3 to 9.0) | 160.6 (132.3 to 193.6) | 18.6 (13.4 to 25.6) | 55.3 (42.7 to 73.1) | −4.4 | 2.7 | −20.1 |
| Low-middle | 25.5 (21.1 to 30.6) | 3.2 (2.3 to 4.3) | 8.7 (6.8 to 11.4) | 152.8 (125.7 to 183.1) | 19.0 (13.9 to 25.8) | 51.7 (40.1 to 67.3) | 15.9 | 14.7 | 16.4 |
| Middle | 24.4 (20.3 to 29.5) | 3.9 (2.9 to 5.4) | 7.8 (6.0 to 10.1) | 115.2 (96.1 to 140.0) | 18.5 (13.5 to 25.4) | 36.8 (28.4 to 48.3) | 25.5 | 19.7 | 22.5 |
| High-middle | 34.0 (27.4 to 41.6) | 4.3 (3.0 to 6.1) | 10.2 (7.8 to 13.5) | 243.9 (194.7 to 299.5) | 30.4 (21.1 to 44.4) | 72.8 (55.2 to 97.3) | −1.4 | −1.4 | −4.0 |
| High | 33.6 (26.5 to 41.6) | 4.9 (3.4 to 7.2) | 9.4 (6.9 to 12.7) | 297.8 (237.2 to 366.0) | 44.0 (30.2 to 64.7) | 85.1 (63.0 to 114.5) | −9.1 | −12.1 | −8.7 |
| Region | |||||||||
| High-income Asia Pacific | 4.8 (3.7 to 6.0) | 0.9 (0.7 to 1.4) | 1.4 (1.0 to 1.9) | 275.2 (216.7 to 343.7) | 53.6 (36.9 to 79.2) | 81.6 (59.7 to 109.0) | 4.3 | 7.3 | 7.5 |
| Central Asia | 3.1 (2.5 to 3.9) | 0.3 (0.2 to 0.5) | 0.9 (0.7 to 1.3) | 342.1 (270.2 to 429.9) | 36.7 (24.6 to 56.9) | 99.9 (74.0 to 138.7) | −1.7 | −0.9 | −0.9 |
| East Asia | 20.1 (16.4 to 24.6) | 0.3 (0.3 to 0.4) | 6.0 (4.5 to 7.9) | 131.1 (107.9 to 159.0) | 20.6 (14.7 to 28.8) | 38.5 (29.2 to 50.5) | 63.0 | 46.5 | 56.9 |
| South Asia | 25.9 (21.2 to 31.1) | 0.4 (0.3 to 0.5) | 7.9 (6.0 to 10.4) | 149.0 (121.6 to 180.1) | 20.5 (14.8 to 27.9) | 44.9 (34.5 to 59.7) | 14.9 | 13.8 | 7.9 |
| Southeast Asia | 4.7 (4.0 to 5.7) | 0.8 (0.6 to 1.0) | 1.7 (1.3 to 2.2) | 71.2 (59.8 to 84.9) | 11.6 (8.6 to 15.6) | 25.2 (19.5 to 32.8) | 10.7 | 19.1 | −4.3 |
| Australasia | 1.8 (1.4 to 2.3) | 0.2 (0.1 to 0.3) | 0.6 (0.4 to 0.8) | 652.6 (506.7 to 819.9) | 74.2 (48.7 to 112.2) | 207.5 (149.4 to 286.0) | 13.7 | 13.3 | 14.6 |
| Oceania | 0.2 (0.1 to 0.2) | 0.02 (0.01 to (0.03) | 0.1 (0.0 to 0.1) | 122.0 (102.7 to 144.5) | 15.4 (11.2 to 20.7) | 41.6 (32.0 to 53.2) | 36.7 | 34.2 | 21.1 |
| Central sub-Saharan Africa | 1.7 (1.4 to 2.1) | 0.2 (0.1 to 0.3) | 0.6 (0.5 to 0.8) | 149.6 (125.4 to 180.2) | 17.5 (12.6 to 24.2) | 54.6 (41.5 to 72.5) | −3.2 | 3.0 | −7.0 |
| Eastern sub-Saharan Africa | 6.5 (5.3 to 7.9) | 0.8 (0.6 to 1.2) | 2.3 (1.8 to 3.1) | 177.0 (144.4 to 216.7) | 23.3 (16.7 to 33.1) | 61.7 (46.9 to 82.2) | −29.9 | −1.4 | −64.9 |
| North Africa and Middle East | 13.2 (10.7 to 17.2) | 1.3 (1.0 to 1.9) | 5.7 (3.9 to 9.2) | 216.5 (175.1 to 282.3) | 21.9 (15.9 to 30.6) | 93.4 (63.5 to 149.0) | 6.0 | −21.9 | 43.3 |
| Southern sub-Saharan Africa | 1.2 (1.0 to 1.4) | 0.1 (0.1 to 0.2) | 0.4 (0.3 to 0.5) | 152.0 (125.1 to 181.2) | 18.5 (13.4 to 25.3) | 50.8 (38.8 to 66.2) | −6.6 | −6.2 | −7.6 |
| Western sub-Saharan Africa | 5.7 (4.7 to 6.9) | 0.7 (0.5 to 0.9) | 2.0 (1.5 to 2.6) | 141.9 (116.7 to 171.2) | 16.7 (12.0 to 23.1) | 48.6 (38.1 to 64.1) | −3.3 | 0.4 | −6.2 |
| Central Europe | 7.6 (5.8 to 10.0) | 0.7 (0.5 to 1.3) | 2.1 (1.5 to 3.0) | 666.8 (511.2 to 865.3) | 68.8 (43.5 to 112.8) | 154.1 (113.4 to 215.2) | −0.9 | 0.6 | −3.5 |
| Eastern Europe | 11.1 (8.7 to 14.2) | 1.2 (0.8 to 1.8) | 3.2 (2.3 to 4.4) | 544.7 (427.6 to 691.2) | 57.3 (37.9 to 90.2) | 184.3 (131.6 to 260.4) | −1.9 | −3.8 | 0.6 |
| Western Europe | 13.4 (10.5 to 16.8) | 1.4 (0.9 to 2.1) | 3.7 (2.7 to 5.0) | 318.8 (249.9 to 396.3) | 33.6 (22.4 to 52.4) | 89.2 (65.7 to 121.9) | −1.5 | −0.4 | −2.1 |
| Andean Latin America | 0.8 (0.6 to 0.9) | 0.08 (0.06 to 0.1) | 0.2 (0.2 to 0.3) | 127.4 (102.3 to 156.8) | 13.8 (9.4 to 20.4) | 38.4 (28.9 to 51.6) | −1.8 | 4.5 | −36.1 |
| Central Latin America | 2.7 (2.1 to 3.3) | 0.5 (0.3 to 0.6) | 0.8 (0.6 to 1.1) | 106.1 (84.5 to 130.7) | 18.0 (12.5 to 25.8) | 31.4 (23.6 to 41.2) | −2.7 | −2.6 | −14.8 |
| Southern Latin America | 2.1 (1.7 to 2.5) | 0.2 (0.2 to 0.3) | 0.4 (0.3 to 0.5) | 317.1 (253.6 to 387.9) | 35.6 (24.5 to 52.0) | 102.2 (76.0 to 138.4) | 12.4 | 12.2 | 15.9 |
| Tropical Latin America | 2.3 (1.8 to 3.0) | 0.5 (0.4 to 0.8) | 0.6 (0.4 to 0.8) | 104.5 (81.8 to 135.3) | 23.5 (16.5 to 34.1) | 26.7 (19.9 to 35.5) | 27.7 | 23.6 | 23.4 |
| High-income North America | 7.8 (6.2 to 9.9) | 1.7 (1.1 to 2.5) | 2.2 (1.6 to 3.0) | 210.7 (167.4 to 262.8) | 46.5 (32.0 to 67.7) | 60.0 (43.5 to 81.1) | −31.4 | −35 | −35.7 |
| Caribbean | 0.6 (0.5 to 0.8) | 0.09 (0.06 to 0.1) | 0.2 (0.2 to 0.3) | 137.8 (110.8 to 168.3) | 19.7 (12.3 to 29.1) | 46.1 (35.1 to 60.8) | 34.3 | 76.8 | 46.0 |
UI, uncertainty interval.