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Abstract
To investigate the outcome of conservative treatment, with and without closed reduction,
45 patients with fractures of the fifth metacarpal neck were evaluated 1 to 5 years
after the initial injury. Radiographs were then taken to compare angulation and length
with the original radiographs. The range of motion of the joints of the little finger
was measured and the grip strength was assessed. The effects of malrotation on cosmetic
appearance were observed, as were any signs of dystrophy. Finally, the patient's subjective
opinion was obtained. Disability due to the injury was found in three patients while
two others had moderate symptoms during daily activities. There seems to be little
indication for closed reposition or operative treatment.
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Article info
Publication history
Accepted:
February 22,
1991
Identification
Copyright
© 1991 Published by Elsevier Inc.
