Comparison of 2 Methods of Immobilization of Fifth Metacarpal Neck Fractures: A Prospective Randomized Study

Journal of Hand Surgery

Volumn 33, Issue 8, 2008, Pages 1362-1368

  Hofmeister, Eric P ^a   Kim, Janeth ^a   Shin, Alexander Y ^a  

^a NAVAL MEDICAL CENTER SAN DIEGO   (United States)

Author keywords

Boxer's; cast; fifth metacarpal; hand fracture; upper extremity

Indexed keywords

ARTICLE; CALLUS; CAST APPLICATION; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; FOLLOW UP; GRIP STRENGTH; HUMAN; IMMOBILIZATION; INTERMETHOD COMPARISON; JOINT STIFFNESS; MAJOR CLINICAL STUDY; METACARPAL BONE FRACTURE; OUTCOME ASSESSMENT; PRIORITY JOURNAL; PROXIMAL INTERPHALANGEAL JOINT; RANDOMIZED CONTROLLED TRIAL; RANGE OF MOTION;

ADOLESCENT; ADULT; CASTS, SURGICAL; FINGER INJURIES; FOLLOW-UP STUDIES; FRACTURE HEALING; FRACTURES, BONE; FRACTURES, CLOSED; HUMANS; INJURY SEVERITY SCORE; MALE; MANIPULATION, ORTHOPEDIC; METACARPAL BONES; MIDDLE AGED; PROBABILITY; PROSPECTIVE STUDIES; RANGE OF MOTION, ARTICULAR; RECOVERY OF FUNCTION; RISK ASSESSMENT; TREATMENT OUTCOME; YOUNG ADULT;

EID: 53049097176     PISSN: 03635023     EISSN: 15316564     Source Type: Journal    
DOI: 10.1016/j.jhsa.2008.04.010     Document Type: Article

References (24)

1. de Jonge J.J., Kingma J., van der Lei B., and Klassen H.J. Fractures of the metacarpals. A retrospective analysis of incidence and aetiology and a review of the English-language literature. Injury 25 (1994) 365-369
2. McKerrell J., Bowen V., Johnston G., and Zondervan J. Boxer's fractures-conservative or operative management?. J Trauma 27 (1987) 486-490
3. Braakman M., Oderwald E.E., and Haentjens M.H. Functional taping of fractures of the 5th metacarpal results in a quicker recovery. Injury 29 (1998) 5-9
4. Lowdon I.M. Fractures of the metacarpal neck of the little finger. Injury 17 (1986) 189-192
5. Theeuwen G.A., Lemmens J.A., and van Niekerk J.L. Conservative treatment of boxer's fracture: a retrospective analysis. Injury 22 (1991) 394-396
6. 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 52A (1970) 1159-1165
7. Holst-Nielsen F. Subcapital fractures of the four ulnar metacarpal bones. Hand 8 (1976) 290-293
8. King J.C., Nettrour J., and Beckenbaugh R.D. Traction reduction and cast immobilization for the treatment of boxer's fractures. Tech Hand Up Extrem Surg 3 (1999) 174-180
9. Birndorf M.S., Daley R., and Greenwald D.P. Metacarpal fracture angulation decreases flexor mechanical efficiency in human hands. Plast Reconstr Surg 99 (1997) 1079-1083
10. Ali A., Hamman J., and Mass D.P. The biomechanical effects of angulated boxer's fractures. J Hand Surg 24A (1999) 835-844
11. Green D., and Butler T. Fractures and dislocations in the hand. In: Rockwood C.A., Green D.P., Bucholz R.W., and Heckman J.D. (Eds). Rockwood and Green's fractures in adults. 4th (1996), Lippincott-Raven, Philadephia 607-704
12. Jupiter J.B., Axelrod T.S., and Belsky M.R. Fractures and dislocations of the hand. In: Browner B.D., Jupiter J.B., Levine A.M., and Trafton P.G. (Eds). Skeletal trauma. 2nd ed. (1998), WB Saunders, Philadelphia 1225-1342
13. Stern P.J. Fractures of the metacarpals and phalanges. In: Green D.P., Hotchkiss R.N., and Pederson W.C. (Eds). Green's operative hand surgery. 4th ed. (1999), Churchill Livingstone, New York 711-771
14. Burkhalter W.E. Closed treatment of hand fractures. J Hand Surg 14A (1989) 390-393
15. Cavlak Y. [Reposition of neck fractures of the 5th metacarpal bone using Jahss' method.]. Aktuelle Traumatol 12 (1982) 215-216
16. Poolman R.W., Goslings J.C., Lee J.B., Statius M.M., Steller E.P., and Struijs P.A. Conservative treatment for closed fifth (small finger) metacarpal neck fractures. Cochrane Database Syst Rev 20 3 (2005) CD003210
17. Garcia-Elias M., An K., Amadio P.C., Cooney W.P., and Linscheid R.L. Reliability of carpal angle determinations. J Hand Surg 14A (1989) 1017-1021
18. Upper Extremity Collaborative Group. Development of an upper extremity outcome measure: the DASH (Disabilities of the Arm, Shoulder, and Hand). Arthritis Rheum 39 (1996) S112
19. Upper Extremity Collaborative Group. Measuring disability and symptoms of the upper limb: a validation study of the DASH questionnaire. Arthritis Rheum 39 (1996) S112
20. Jahss S.A. Fractures of the metacarpals: a new method of reduction and immobilization. J Bone Joint Surg 20 (1938) 178-186
21. Koch S.L. Disabilities of the hand resulting from loss of joint function. JAMA 104 (1935) 30-35
22. Tavassoli J., Ruland R.T., Hogan C.J., and Cannon D.L. Three cast techniques for the treatment of extra-articular metacarpal fractures. Comparison of short-term outcomes and final fracture alignments. J Bone Joint Surg 87A (2005) 2196-2201
23. Lane C.S., Kennedy J.F., and Kuschner S.H. The reverse oblique x-ray film: metacarpal fractures revealed. J Hand Surg 17A (1992) 504-506
24. Leung Y.L., Beredjiklina P.K., Monaghan B.A., and Bozentka D.J. Radiographic assessment of small finger metacarpal neck fractures. J Hand Surg 27A (2002) 443-448