Initial Treatment of Closed Metacarpal Fractures
| Autor: | D. A. Woods, P. D. Burge, P. J. McMahon |
|---|---|
| Rok vydání: | 1994 |
| Předmět: |
Adult
musculoskeletal diseases medicine.medical_specialty Time Factors Adolescent medicine.medical_treatment Range of movement Metacarpophalangeal Joint Finger Injuries Confidence Intervals medicine Humans Initial treatment Prospective Studies Fractures Closed Range of Motion Articular Aged Aged 80 and over Transplantation business.industry Middle Aged equipment and supplies Bandages Surgery body regions Treatment Outcome medicine.anatomical_structure Splints Pip joint Upper limb Metatarsal bones Splint (medicine) business Range of motion Compression glove |
| Zdroj: | Journal of Hand Surgery. 19:597-600 |
| ISSN: | 0266-7681 |
| DOI: | 10.1016/0266-7681(94)90123-6 |
| Popis: | A prospective clinical trial compared two forms of initial management for closed stable fractures of the shaft of the finger metacarpals. Patients were randomized to treatment with a compression glove and early mobilization (21 patients) or to immobilization in a plaster splint (21 patients). The mean loss of total active flexion (MP+PIP+DIP) in the second week after injury was 56° in the glove group and 84° in the splint group ( P=0.0036). In the third week, the mean loss of flexion was 23° and 46° respectively ( P=0.0010). Hand volume and PIP joint circumference were significantly smaller in the glove group in the second week but not in the third and fourth weeks. Within each group, however, there was no correlation between range of motion and swelling, suggesting that these were independent variables in this study. The support of the glove helped to relieve pain. Use of a compression glove avoided the loss of function imposed by splintage and was associated with a greater range of movement during the second and third weeks. |
| Databáze: | OpenAIRE |
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