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Non-operative management. Non-operative management is appropriate for the majority of 5th MC neck fractures1-3 and can be achieved with a single appointment. Buddy taping and early motion of the digit is the most common intervention required for this fracture.
Splints for metacarpal neck or head fractures should be extended to include the MCP joint in an intrinsic-plus position. -The splint may be cut down to hand-based only at 4 weeks. Motion: . -Begin AROM/AAROM to finger and wrist joints. -Begin PROM at 4 weeks. -5 lbs lifting restriction starting at 6 weeks. Edema Control: Per therapist. 6-10 weeks.
The treatment for a Boxer’s fracture varies based on initial presentation if the fracture is closed or open, the rotation and degree of angulation and other associated injuries. Immobilization Alone. Splinting is used for initial immobilization if the fracture is closed, not angulated, and not malrotated or otherwise displaced.
Our systematic review aimed to review, appraise and collate available evidence on hand rehabilitation programmes for the management of second to fifth metacarpal fractures in an adult human population after conservative and surgical management.
4 Φεβ 2021 · There is a considerable amount of variability in the preferred method for surgical fracture management of the fifth metacarpal fracture also known as the Boxer’s fracture. We reviewed the available literature in an attempt to summarise the methods used in the current practice to reach a consensus. Two previous studies,
10 Νοε 2015 · Among the 4 treatments—conservative treatment (CT), antegrade intramedullary nailing (AIMN), transverse pinning (TP) with K-wires, and plate fixation (PF)—CT had the best rankings (ie, lowest risk of total complications), followed by PF, AIMN, and TP (ie, highest risk of total complications).
The challenge for the health care team is to design intervention protocols that recog-nize the need to maintain fracture stability for maximal bone healing, while also introducing early, controlled-motion protocols to preserve soft tissue integrity and facilitate scar remodeling.
