| Initial treatment of closed metacarpal fractures. A controlled comparison of compression glove and splintage. | |
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MedLine Citation:
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PMID: 7822917 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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P J McMahon; D A Woods; P D Burge |
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Publication Detail:
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Type: Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial |
Journal Detail:
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Title: Journal of hand surgery (Edinburgh, Scotland) Volume: 19 ISSN: 0266-7681 ISO Abbreviation: J Hand Surg Br Publication Date: 1994 Oct |
Date Detail:
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Created Date: 1995-02-16 Completed Date: 1995-02-16 Revised Date: 2009-06-08 |
Medline Journal Info:
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Nlm Unique ID: 8403839 Medline TA: J Hand Surg Br Country: SCOTLAND |
Other Details:
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Languages: eng Pagination: 597-600 Citation Subset: IM |
Affiliation:
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John Radcliffe Hospital, Oxford, UK. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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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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