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Hospital Episode Statistics (HES) include freely accessible records of all hospital episodes in England. We analysed HES from 1998-1999 to 2014-2015 for diagnoses of hand fractures, tendon injuries, nerve injuries, blood vessel injuries, traumatic amputations and nail bed injuries. Population data were used to calculate the incidence. The overall incidence of the injuries increased from 70 to 110 per 100,000. There were especially large increases in the incidence of fractures in the over 75 years age group and nail bed injuries in the 0-14 years age group. The incidence of nerve injuries also increased. We conclude from this study that HES is a useful tool. The information from HES may help plan service provision and also highlight important clinical problems that may benefit from further research.

Original publication




Journal article


J Hand Surg Eur Vol

Publication Date





532 - 536


Hand, bone, fractures, hand injuries, replantation, tendon injuries, Adolescent, Adult, Age Distribution, Aged, Amputation, Traumatic, Child, Child, Preschool, England, Female, Fractures, Bone, Hand Injuries, Humans, Infant, Infant, Newborn, Male, Middle Aged, Peripheral Nerve Injuries, Population Dynamics, Sex Distribution, Tendon Injuries, Vascular System Injuries, Wrist Injuries, Young Adult