Therapy of Fifth Metacarpal Neck Fractures - Comparing Functional Treatment With Reposition and Finger Splinting
Conservative Therapy of Fifth Metacarpal Neck Fractures - a Prospective Randomized Study Comparing Functional Treatment With Reposition and Finger Splinting
Medical University of Vienna
100 participants
Oct 1, 2023
INTERVENTIONAL
Conditions
Summary
The purpose of this prospective randomized controlled clinical trial is to evaluate if functional treatment leads to a better functional outcome than a forearm cast and a finger splint in patients with fifth metacarpal neck fracture.
Eligibility
Inclusion Criteria2
- Fifth Metacarpal Neck Fractures
- Patient age between 18 and 70 years
Exclusion Criteria9
- Palmar angulation >50° in first lateral x-ray
- Pathologic fracture
- Intraarticular fracture
- Patients unable to consent
- Polytraumatized patients
- Pregnancy
- Compound fractures
- Multiple hand injuries
- Patients initially presenting more than 7 days after injury
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Interventions
Patients receiving buddy taping for fingers IV and V and an elastic bandage in terms of a functional treatment. Duration of bandage treatment is determined with 4 weeks.
Patients receiving reduction of fractured finger and subsequent customization of a forearm cast with a finger splint. Duration of cast treatment is determined with 4 weeks.
Locations(1)
View Full Details on ClinicalTrials.gov
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NCT06029374