Epidemiology of Closed Metacarpal Fractures in A Tertiary Care Centre

Background: Fractures of the metacarpals represent a significant volume of hand trauma cases managed by orthopaedic surgeons. Displaced closed fractures require careful attention, as improper treatment can lead to long-term functional deficits and anatomical distortion. Aim: The objective of this research was to analyse the epidemiological patterns of closed metacarpal fractures among patients admitted to a tertiary care facility. Materials and Methods: We conducted a prospective observational analysis over six-month duration at the Department of Orthopaedics, GMC Kathua. The study cohort consisted of 100 individuals between the ages of 18 and 65 presenting with closed fractures of the second through fifth metacarpals. We collected and statistically examined data regarding demographics, injury mechanisms, fracture morphology, and concomitant injuries. Results: The study population was dominated by young males (85%). The primary mechanism of injury was road traffic accidents (39%). Injuries to the right hand were significantly more frequent (76%). In terms of anatomical location, the fifth metacarpal was the most frequently fractured bone (41%). The majority of cases presented as isolated injuries without other associated fractures (83%). Conclusion: Closed metacarpal injuries are predominantly seen in young men, with vehicular accidents serving as the major precipitating factor. The fifth metacarpal is the most vulnerable bone in this group.