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Abstract
During initial and follow-up evaluation of fractures of the fourth or fifth metacarpal,
X-rays in PA and oblique pronated views are taken. Routine straight lateral X-rays
are also often made in the expectation that they will reveal additional information.
The additional value was evaluated of 408 lateral X-rays taken of fourth and fifth
metacarpal fractures in 160 conservatively treated patients. No clinically relevant
information would have been missed if lateral X-rays had been made selectively. Routine
X-rays during treatment of these fractures should initially be limited to PA and oblique
pronated views. Only after confirmation of a proximal comminuted fracture or signs
of a pronounced anteroposterior dislocation, is an additional lateral X-ray indicated.
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Article info
Publication history
Accepted:
May 19,
1997
Identification
Copyright
© 1998 Published by Elsevier Inc.
