![]() ![]() Functional taping of fractures of the 5th metacarpal results in a quicker recovery. Fractures of the fifth metacarpal neck: is reduction or immobilisation necessary? J Hand Surg Br. The biomechanical effects of angulated boxer’s fractures. Conservative treatment for closed fifth (small finger) metacarpal neck fractures. Poolman RW, Goslings JC, Lee JB, Statius Muller M, Steller EP, Struijs PA. ![]() A controlled comparison of compression glove and splintage. Initial treatment of closed metacarpal fractures. Treatment of subcapital fractures of the fifth metacarpal bone: a prospective randomised comparison between functional treatment and reposition and splinting. Kuokkanen HO, Mulari-Keranen SK, Niskanen RO, Haapala JK, Korkala OL. Functional treatment of metacarpal fractures 100 randomized cases with or without fixation. Konradsen L, Nielsen PT, Albrecht-Beste E. Reliability and validity of plain radiographs to assess angulation of small finger metacarpal neck fractures: human cadaveric study. Lamraski G, Monsaert A, De Maeseneer M, Haentjens P. A new method of reduction and immobilization. The effect of closed reduction of small finger metacarpal neck fractures on the ultimate angular deformity. Comparison of 2 methods of immobilization of fifth metacarpal neck fractures: a prospective randomized study. Immediate mobilization gives good results in boxer’s fractures with volar angulation up to 70 degrees: a prospective randomized trial comparing immediate mobilization with cast immobilization. ![]() Statius Muller MG, Poolman RW, van Hoogstraten MJ, Steller EP. A prospective randomized study of three different types of treatment. The treatment of fractures of the ring and little metacarpal necks. Outcome of boxer’s fractures treated by a soft wrap and buddy taping: a prospective study. Van AJ, Kampfen S, Berli M, Fritschy D, Della Santa D, Fusetti C. An overview of aetiology, management and prevention. Fractures of the metacarpal neck of the little finger. A report on one hundred and thirty-three cases. Fifth metacarpal fractures in a compensation clinic population. Closed reduction and immobilization in a plaster ulnar gutter splint of small finger metacarpal neck fractures is an effective method of angulation reduction.ġ. There was a very highly significant increase in fracture angulation from 36.16 degrees immediately post reduction to 42.53 degrees at 4 weeks post reduction (p < 0.001).Ĭonclusion Initial reduction of fracture angulation cannot be fully maintained in a plaster ulnar gutter splint at 2 weeks and 4 weeks after reduction, but the angulation at 4 weeks after reduction provides an effective reduction when compared with the pre-reduction angulation. There was a highly significant decrease in fracture angulation at 4 weeks post reduction of from 48.05 degrees pre-reduction to 42.53 degrees (p = 0.006). Results Forty-three of 67 patients were treated for small finger metacarpal neck fractures of whom 24 were excluded and 19 patients were included in the study. The degree of fracture angulation was measured in oblique view from digital radiographs at pre-reduction, immediate post-reduction, 2 weeks post-reduction and 4 weeks post-reduction. Methods This prospective, descriptive, single-center study evaluated patients who presented between January 2015 and January 2020 with greater than 40 degrees of angulation within 1 week of a small finger metacarpal neck fracture. Objectives To prospectively assess the effectiveness of closed reduction of small finger metacarpal neck fractures in terms of the extent to which the reduced fracture angulation can be maintained at 2 weeks and 4 weeks after reduction by using a plaster ulnar gutter splint. Small finger metacarpal neck fracture, fifth metacarpal fracture, boxer’s fracture, metacarpal fracture, subcapital fracture of metacarpal bone, closed reduction Abstract ![]() Division of Plastic Surgery, Department of Surgery, Faculty of Medicine, Chiang Mai University, Chiang Mai ![]()
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