12/24/2023 0 Comments Splint 5th metacarpal fracture![]() Shaft metacarpal fractures: forearm-based splint wrist 20 extension with affected. Further prospective comparative studies are indicated. shaft 5th metacarpal fracture with more than 30 of angulation. All patients were treated non-operatively successfully without loss of reduction and improved pain and functional scores at follow-up. The metacarpal mitt is a novel splint that can be used to treat 2nd-5th metacarpal fractures. No patients required operative intervention. Metacarpal Fracture Conservative Management Fracture Metacarpal with x-ray prior to review Review 3-7 days post injury to prevent prolonged immobilisation Assess. 8 patients met criteria and were successfully contacted for Quick DASH scores. All patients had diminished pain from injury to follow-up. (Figure 2) At follow-up, only 4 patients had decreased range of motion in various joints (4 at the MCP joint and 1 at the PIP joint). Median clinical malrotation and extensor lag at injury (0, 0 degrees respectively) were similar to that at follow-up (0, 0 degrees respectively). Median radiographic parameters at injury (5 degrees coronal, 20 degrees sagittal, 0 mm shortening) were similar to that at follow-up (7 degrees coronal, 20 degrees sagittal, 1 mm shortening). Median follow-up was 2 months (range 1 to 9 months). Ten patients (77%) were male, nine fractures (69%) occurred in the right hand, and majority of the small finger (nine small finger, three ring finger, one long finger). Thirteen patients met inclusion criteria. Quick DASH scores were obtained at two months post-injury. Check for point tenderness at fracture site, if none, can discharge splint. Patient data were collected via chart review. BOXERS FRACTURE/SUBCAPITAL FRACTUER OF THE FIFTH METACARPAL BONE. Exclusion criteria were age < 18, lack of follow-up, fracture of the first metacarpal, open fracture, and multiple fractures. In this prospective case series, patients were identified after work-up demonstrated a 2nd-5th metacarpal fracture and enrolled after follow-up at three weeks post-injury. ![]() We hypothesize that these patients would have good clinical outcomes with non-operative management of 2nd-5th metacarpal fractures using the metacarpal mitt. The advantages of the metacarpal mitt would be that the wrist, PIP, and DIP joints are left free while still immobilizing the metacarpals. We propose utilizing a "metacarpal mitt", a novel splint compromised of plaster of Paris around the palm of the hand (Figure 1). Traditionally, these fractures are treated nonoperatively. Metacarpal fractures are common metacarpal fractures of the index, long, ring, and small fingers account for the majority. The Metacarpal Mitt Splint for 2nd-5th Metacarpal Fractures: A Prospective Case SeriesÄaniel Yang Hong, MD, Chimere O Ezuma, BA, Peter C Noback, MD, Liana J Tedesco, MD and Robert J Strauch, MD, Columbia University Medical Center, New York, NY ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |