Metacarpal fracture angulation decreases flexor mechanical efficiency in human hands

Plastic and Reconstructive Surgery

Volumn 99, Issue 4, 1997, Pages 1079-1085

  Birndorf, Michael S ^a   Daley, Roger ^a   Greenwald, Daniel P ^a  

^a Harbourside Medical Tower ^*

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; BIOMECHANICS; CADAVER; COMPUTER SIMULATION; HAND FRACTURE; HUMAN; HUMAN TISSUE; METACARPAL BONE FRACTURE; PRIORITY JOURNAL; SURGICAL ANATOMY; SURGICAL APPROACH; WEIGHT BEARING;

BIOMECHANICS; FRACTURES, BONE; HUMANS; METACARPUS;

EID: 0030937921     PISSN: 00321052     EISSN: None     Source Type: Journal    
DOI: 10.1097/00006534-199704000-00024     Document Type: Article

References (14)

1. Hunter, J. M., and Cowen, N.J. Fifth metacarpal fractures in a compensation clinic population. A report on one hundred and thirty-three cases. J. Bone Joint Surg. Am. 52: 1159, 1970.
2. Arafa, M., Haines, J., Noble, J., and Garden, D. Immediate mobilization of fractures of the neck of the fifth metacarpal. Injury 17: 277, 1968.
3. Bloem, J. J. The treatment and prognosis of uncomplicated dislocated fractures of the metacarpals and phalanges. Arch. Chir. Neerl. 23: 55, 1971.
4. Ford, D. J., Ali, M. S., and Steel, E. M. Fractures of the fifth metacarpal: Is reduction of immobilization necessary? J. Hand Surg. Br. 1: 165, 1989.
5. Lowden, I. M. R. Fractures of the metacarpal neck of the little finger. Injury 17: 189, 1986.
6. Holst-Nielsen, F. Subcapital fractures of the four ulnar metacarpal bones. Hand 8: 290, 1976.
7. Smith, R. J., and Peimer, C. A. Injuries to the metacarpal bones and joints. Adv. Surg. 11: 341, 1977.
8. McKerrell, J., Bowen, V., Johnston, G., and Zondervan, J. Boxer's fractures - conservative or operative management? J. Trauma 27: 486, 1987.
9. Theeuwem, G. A. J. M., Lemmens, J. A. M., and van Niekerk, J. L. M. Conservative treatment of boxer's fracture: A retrospective analysis. Injury 22: 394, 1991.
10. Greenwald, D., Shumway, S., Allen, C., and Mass, D. Dynamic analysis of profundus tendon function. J. Hand Surg. 19A: 626, 1994.
11. Rispler, D., Greenwald, D., Shumway, S., Allan, C., and Mass, D. Efficiency of the flexor tendon pulley system in human cadaver hands. Mechanical analysis of the annular flexor pulley system in human hands. J. Hand Surg. [Am.] 21: 444, 1996.
12. Wainwright, S. A., Biggs, W. D., Currey, H. D., and Gosline, J. M. Mechanical design in organisms. Princeton, N.J.: Princeton University Press, 1993, Pp. 254-352.
13. Barton, N. J. Fractures of the hand. J. Bone Joint Surg. Br. 66: 159, 1984.
14. Kilbourne, B. C., and Paul, E. G. The use of small bone screws in the treatment of metacarpal, metatarsal and phalangeal fractures. J. Bone Joint Surg. Am. 40: 375, 1958.