Although there was no statistical difference in satisfaction with the esthetic appearance, the patient must be willing to accept the loss of the "knuckle" with this treatment method.ĥth metacarpal neck fracture Boxer’s fracture Cast Prospective Randomized Soft dressing Treatment. This study supports the use of soft wrap and buddy taping for treatment of boxer's fracture with palmar angulation ≤70° and no rotational deformity. Duration of time off from work was 11 days shorter in SW compared to RC (P = 0.03). The degree of palmar fracture angulation was not related to work leave or profession. Surgical plates, screws, or wires often are used to keep the bones in place. Increased fracture angulation, as measured on follow-up radiographs, was not significantly different between both groups. Injuries to growth plates, which produce new bone tissue and determine the. There was no significant difference between both groups' secondary outcomes of pain, satisfaction with the esthetic appearance, mobility of the metacarpophalangeal-joint at flexion and extension, or power grip. Other secondary radiographic and clinical outcomes were measured.Īt 4 months, mean difference in the quickDASH between the two groups was -10.4 (95 % confidence interval, -27.0 +6.2) which was under the pre-specified margin. PDF On Oct 21, 2020, Haitham Khashaba and others published Patient-reported outcome of fifth metacarpal neck fracture treated with buddy taping versus ulnar gutter cast Find, read and cite all. The main cause is a direct impact on the closed fist 2. Noninferiority was claimed if there was no more than +10 points difference in the quickDASH. Fifth metacarpal neck fractures (FMNFs) or boxers fractures are common injuries that contribute nearly 20 of all hand fractures 1. Our primary outcome was measured by the shortened Disabilities of the Arm, Shoulder and Hand (quickDASH) questionnaire at 4 months. Sixty-eight patients with similar characteristics were prospectively enrolled and randomized at four institutions. The purpose of this prospective, randomized, multicenter trial was to determine if the outcomes of soft wrap and buddy taping (SW) was noninferior to reduction and cast (RC) in boxer's fracture with palmar angulation ≤70° and no rotational deformity. The majority of fifth metacarpal neck fractures (boxers fracture) are treated conservatively without surgery. Introduction Metacarpal shaft fractures (MSF) are common traumatic hand injuries that usually affect young people of working age.
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