Aims. This study explores the epidemiology of patients with a fracture
of the scaphoid presenting to a regional teaching hospital. Patients and Methods. All patients with a confirmed fracture of the scaphoid over a
retrospective period between January 2010 and May 2013 were included.
Their demographics, deprivation status and when the fracture occurred
was noted and assessed. There were 415 fractures in 365 males and
50 females. Results. The incidence of fracture of the scaphoid was 12.4 in 100 000
each year in the general population. The mean age of the patients
was 22 years (nine to 35); the highest incidence was in males aged
between 15 and 19 years. We calculate the annual incidence in the
United Kingdom to be 7265 each year. Patients with the lowest socioeconomic status
had an incidence of 18.57 in 100 000 whereas the least deprived
patients had an incidence of 9.98 (p <
0.001). There was evidence
of a seasonal trend (p = 0.022) with the highest monthly rate found
in June (16.96 in 100 000 each year) and the lowest was in December
(7.61 in 100 000 each year). There were significantly fewer presentations of
fracture at the weekend (p <
0.001), and the highest incidence
was on Mondays. Most fractures occurred at the waist (64%) and tubercle
(18.1%). Take home message: In this large-scale