Paper| Volume 29, ISSUE 1, P5-9, January 1998

Functional taping of fractures of the 5th metacarpal results in a quicker recovery

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      Fractures of the fifth metacarpal can be treated non-operatively by plaster immobilisation or functional taping. In order to evaluate the better treatment policy, the two methods were compared in a prospective randomised series. We treated 25 patients with an ulnar gutter plaster-cast splintage and 25 with functional tape. Functional recovery was evaluated after one week and four weeks, three months and six months. Mobility, power-grip, pulling- and torque strengths were measured. The change in fracture angulation was calculated at the one and four-week follow-up. Residual symptoms were evaluated after six months. The functional tape group showed significant earlier functional recovery. After six months, there were no significant differences between the groups with regard to functional and anatomical results or the number of patients with residual symptoms. In both groups, we noted a change in fracture angulation only in those fractures that had been reduced. We conclude that fractures of the 5th metacarpal are better treated by functional taping than by cast immobilisation.
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        • Royle S.G.
        Rotational deformity following metacarpal fracture.
        Journal of Hand Surgery. 1990; 15B: 124-125
        • Worlock P.H.
        • Stower M.J.
        The incidence and pattern of fractures in children.
        Journal of Hand Surgery. 1986; 11B: 198-200
        • Abdon P.
        • Mühlow A.
        • Stigsson L.
        • Thorngren K.G.
        • Werner C.O.
        • Westman L.W.
        Subcapital fractures of the fifth metacarpal bone.
        Archives of Orthopaedic Trauma Surgery. 1984; 103: 231-234
        • Arafa M.
        • Haine J.
        • Noble J.
        • Garden D.
        Immediate mobilisation of fractures of the neck of the fifth metacarpal.
        Injury. 1986; 17: 277-278
        • Ford D.J.
        • Ali M.S.
        • Steel W.M.
        Fractures of the fifth metacarpal neck; is reduction or immobilisation necessary?.
        Journal of Hand Surgery. 1989; 14B: 165-167
        • Porter M.L.
        • Hodgkinson J.P.
        • Hirst P.
        • Wharton M.R.
        • Cunliffe M.
        The boxers' fracture: a prospective study of functional recovery.
        Archives of Emergency Medicine. 1988; 5: 212-215
        • Holst-Nielsen F.
        Subcapital fractures of the four ulnar metacarpal bones.
        The Hand. 1976; 8: 290-293
        • Maitra A.
        • Sen B.
        Displaced boxers' fractures: a simple and effective method of external splintage.
        British Journal of Clinical Practice. 1990; 44B: 348-351
        • Lowdon I.M.R.
        Fractures of the metacarpal neck of the little finger.
        Injury. 1986; 17: 189-192
        • Theeuwen G.A.J.M.
        • Lemmens J.A.M.
        • van Niekerk J.L.M.
        Conservative treatment of boxers' fracture: retrospective analysis.
        Injury. 1991; 22: 394-396
      1. Swallow R.A. Naylor R.A. Clark's Positioning in Radiography. 11th edn. Heinemann Medical Books, Oxford1989: 36-39
        • Ballingen P.W.
        • Bushang S.C.
        • Termaat W.J.
        Hand radiography.
        in: Merrils' Atlas of Radiographic Positioning and Radiologic Procedures. 6th edn. The CV Mosby Company, St Louis1986: 50-59
        • Braakman M.
        Positioning aid solves the reproducibility problem during oblique hand radiography: a cheap and effective solution.
        Skeletal Radiology. 1996; 25: 563-567
        • Mathiowetz V.
        • Rennells M.S.
        • Donahoe L.
        Effect of elbow position on grip and key pinch strength.
        Journal of Hand Surgery. 1985; 10A: 694-696
        • O'Driscoll S.W.
        • Horil E.
        • Ness R.
        • Calahan T.D.
        The relationship between wrist position, grasp size and grip strength.
        Journal of Hand Surgery. 1992; 17A: 169-177
        • Mathiowetz V.
        • Weiner D.M.
        • Federman S.M.
        Grip and pinch strength: norms for 6–19 years old.
        American Journal of Occupational Therapy. 1986; 40: 705-711
        • Mathiowetz V.
        • Weber K.
        • Volland G.
        • Kashman N.
        Reliability and validity of grip and pinch strength evaluations.
        Journal Hand Surgery. 1984; 9A: 222-226
        • Mathiowetz V.
        • Kashman N.
        • Volland G.
        • Weber K.
        • Dowe M.
        • Rogers S.
        Grip and pinch strength: normative data for adults.
        Archives of physical and Medical Rehabilitation. 1985; 66: 69-74
        • McKerrel J.
        • Bowen V.
        • Johnston G.
        • Zondervan J.
        Boxers fractures—conservative or operative management.
        Journal of Trauma. 1987; 27: 486-490
        • Niebuhr B.R.
        • Marion R.
        Voluntary control of submaximal grip strength.
        American Journal of Physical and Medical Rehabilitation. 1990; 69: 96-101
        • Young V.L.
        • Pin P.
        • Kreamer B.A.
        • et al.
        Fluctuation in grip and pinch strength among normal subject.
        Journal of Hand Surgery. 1989; 14A: 125-129
        • Chengalur S.N.
        • Smith G.A.
        • Nelson R.C.
        • Sadolff A.M.
        Assessing sincerity of effort in maximal grip strength tests.
        Journal of Physical and Medical Rehabilitation. 1990; 69: 148-153
        • Goldman A.S.
        • Cahalan T.D.
        • An K.
        The injured upper extremity and the Jamar five-handle grip test.
        Journal of Physical and Medical Rehabilitation. 1991; 70: 306-308
        • Petterson P.
        • Petrick M.
        • Connor H.
        • Conklin D.
        Grip strength and hand dominance: challenging the 10% rule.
        American Journal of Occupational Therapy. 1989; 43: 444-447
        • Kellor M.
        • Frost J.
        • Silverberg N.
        • Iversen I.
        • Cummings R.
        Hand strength and dexterity.
        American Journal of Occuvational Therapy. 1971; 25: 77-83
        • Braakman M.
        Normal radiographic angulation in the 4th and 5th metacarpal: a reference guide.
        European Journal of Radiology. 1996; 22: 33-41