Document Detail


Initial treatment of closed metacarpal fractures. A controlled comparison of compression glove and splintage.
MedLine Citation:
PMID:  7822917     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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 degrees in the glove group and 84 degrees in the splint group (P = 0.0036). In the third week, the mean loss of flexion was 23 degrees and 46 degrees 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.
Authors:
P J McMahon; D A Woods; P D Burge
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Journal of hand surgery (Edinburgh, Scotland)     Volume:  19     ISSN:  0266-7681     ISO Abbreviation:  J Hand Surg Br     Publication Date:  1994 Oct 
Date Detail:
Created Date:  1995-02-16     Completed Date:  1995-02-16     Revised Date:  2009-06-08    
Medline Journal Info:
Nlm Unique ID:  8403839     Medline TA:  J Hand Surg Br     Country:  SCOTLAND    
Other Details:
Languages:  eng     Pagination:  597-600     Citation Subset:  IM    
Affiliation:
John Radcliffe Hospital, Oxford, UK.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Bandages*
Confidence Intervals
Finger Injuries / physiopathology,  therapy*
Fractures, Closed / physiopathology,  therapy*
Humans
Metacarpophalangeal Joint / injuries*,  physiopathology
Middle Aged
Prospective Studies
Range of Motion, Articular
Splints*
Time Factors
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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