The current practice of the management of little finger metacarpal fractures--a review of the literature and results of a survey conducted among upper limb surgeons in the United Kingdom

Hand Surgery : an International Journal Devoted to Hand and Upper Limb Surgery and Related Research : Journal of the Asia-Pacific Federation of Societies for Surgery of the Hand
A SahuM S Srinivasan

Abstract

Little finger metacarpal fractures are the most common type of metacarpal fractures and the treatment is quite variable as it is a multifactorial entity comprised of subcapital, metacarpal shaft and base fractures. These fractures are common presentations in the fracture clinics and the general orthopaedic surgeons treat them until a complex case warrants specific decision making by a hand surgeon. The management of many of these fractures is still a matter of debate and differ widely in the various parts of the United Kingdom. The aim of this study was to investigate the current practice of little finger metacarpal fractures among upper limb surgeons in the UK. We conducted an online survey among 278 upper limb orthopaedic specialist surgeons throughout the UK. Our response rate was 58%. There are various factors which dictate the treatment as suggested by these respondent upper limb consultants. For example, for fifth metacarpal neck fractures, it was generally recognised that 43% of upper limb surgeons prefer neighbour strapping alone for non-operative management of little finger metacarpal fractures. For little finger metacarpal shaft fractures, 39.3% of surgeons suggested that they would contemplate intervention, i.e. mani...Continue Reading

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Citations

Jul 6, 2014·Clinics in Plastic Surgery·Shu Guo Xing, Jin Bo Tang
Jun 4, 2015·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·A P A GreevenI B Schipper
Aug 13, 2013·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Deniz GulabiErdogan Merih
Dec 30, 2014·The Journal of Hand Surgery, European Volume·S V GehrmannJ Windolf
Jul 28, 2016·The Journal of Hand Surgery Asian-Pacific Volume·Youn Moo HeoByoung Gu Lim
Oct 18, 2013·Journal of Medical Ethics·David Wendler, Franklin Miller
Aug 28, 2018·Plastic Surgery·Helene RetrouveyPaul Binhammer
Jul 2, 2021·Irish Journal of Medical Science·Ertuğrul Şahin
Jan 8, 2022·Hand : Official Journal of the American Association for Hand Surgery·Thomas J FranceAlexander Lauder

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