Management and Complications of Non-Thumb Metacarpal Fractures in the Incarcerated Population
| Autor: | Karl C. Bruckman, Safi Ali-Khan, Neil M. Vranis, David A. Daar, Jacques Hacquebord, Kelly A Hu |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Patient demographics Population Thumb Hand stiffness 03 medical and health sciences Fractures Bone Young Adult 0302 clinical medicine Metacarpal fracture Medicine Injury mechanisms Humans 030212 general & internal medicine education Aged Retrospective Studies Community and Home Care education.field_of_study 030505 public health business.industry Prisoners Public Health Environmental and Occupational Health Metacarpal Bones Middle Aged Surgery medicine.anatomical_structure Treatment modality Fracture (geology) Female New York City 0305 other medical science business |
| Zdroj: | Journal of correctional health care : the official journal of the National Commission on Correctional Health Care. 26(2) |
| ISSN: | 1940-5200 |
| Popis: | We reviewed the patient demographics, injury mechanisms, fracture characteristics, treatment modalities, and outcomes of incarcerated patients who were referred for metacarpal fracture evaluation and treatment to our high-volume tertiary care center from a New York City Department of Correction infirmary facility. There is a scarcity of information in the orthopedic and plastic surgery literature on treating these common fractures in this vulnerable population. We conducted a basic statistical analysis and discuss the potential implications of these findings. We found a high incidence of stiffness that may relate to the high rates of follow-up noncompliance coupled with prolonged immobilization. Awareness of these findings may influence treating hand specialists to use less restrictive immobilization devices such as functional bracing, elastic bandage, or neighbor strapping as an effort to promote bony union without the risk of developing stiffness and the potential to compromise general hand function when treating non-thumb metacarpal fractures. |
| Databáze: | OpenAIRE |
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