A Prospective Randomized Trial Comparing the Functional Results of Buddy Taping Versus Closed Reduction and Cast Immobilization in Patients With Fifth Metacarpal Neck Fractures

Martínez-Catalán, Natalia; Pajares, S.; Llanos, Lucía; Mahíllo, Ignacio; Calvo, Emílio

doi:10.1016/j.jhsa.2020.05.013

Cited by 17 publications

(25 citation statements)

References 19 publications

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“…19 Recent literature supports buddy strapping instead of POP immobilisation for uncomplicated neck of fifth metacarpal fractures, and for neck of fifth metacarpal fractures without rotation deformities and for volar angulation less than 70°, due to less time off work and no complications due to POP immobilisation. 24,25 At eight weeks, participants who sustained neck of fifth metacarpal fractures managed with an elastic bandage around their metacarpals and wrist with early protected movement, displayed stronger grip strengths than the immobilisation in a U-shaped splint participants. 26 Patients with closed, isolated neck of fifth metacarpal fractures without rotational deformity were managed either by functional metacarpal splints supporting only the metacarpals or an ulnar gutter splint immobilising the wrist.…”

Section: Discussionmentioning

confidence: 99%

Splints and immobilisation approaches used for second to fifth metacarpal fractures: a systematic review

et al. 2022

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BACKGROUND: The second to fifth metacarpal fractures are immobilised with splints, plaster of Paris (POP) or buddy strapping for a period of time. However, no recent evidence-based splinting and immobilisation programme exists for the management thereof, leaving a gap in the literature to inform clinical practice. This review aimed to review, appraise and collate the literature on splints and immobilisation approaches used for second to fifth metacarpal fractures after surgical and conservative management in adults aged 20 to 59 years. METHODS: The review included experimental study designs, quasi-experimental studies, cohort studies and case-control studies from January 2008 to September 2018. Two reviewers independently screened, selected, appraised and extracted data from the included studies. Preferred reporting items for systematic reviews and meta-analysis (PRISMA) guided the reporting. Joanna Briggs Institute (jBl) critical appraisal tools were used to assess the risk of bias for each included study. RESULTS: Database searches generated 1 005 articles with ten additional articles found on Google Scholar. Ten articles were included: two randomised controlled trials (RCTs), one quasi-RCT, four prospective studies, one retrospective record review, one retrospective study and one comparative study with descriptive reporting of the results. CONCLUSION: High level 1b evidence suggests that no reduction, a soft wrap and buddy strapping for three weeks with early active finger and wrist mobilisation are effective for individuals who sustained boxer's fractures with < 70° angulation. To guide clinical practice, high-level research is needed to determine the immobilisation of second to fifth metacarpal fracture types. Level of evidence: Level 2

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Section: Discussionmentioning

confidence: 99%

Splints and immobilisation approaches used for second to fifth metacarpal fractures: a systematic review

et al. 2022

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“…Earp et al 45 2017 USA X X El-Saeed et al 46 2019 Egypt X X Franko et al 47 2017 USA X X X Hansen et al 48 2017 Denmark X X Hegazy et al 49 2021 Saudi Arabia X X Hutchison et al 50 2018 USA X X Ilyas et al 51 2018 USA X X Keulen et al 52 2018 USA X X X Kleiss et al 53 2020 USA X X X X X X Landgren et al 54 2017 Sweden X X Logli et al 55 2018 USA X X X Marks et al 56 2017 Switzerland X X Martínez-Catalán et al 57 2020 Spain X X…”

Section: Conflict Of Interestmentioning

confidence: 99%

Low Rates of Reporting and Analyzing Race and Ethnicity in Hand Surgery Randomized Controlled Trials: A Systematic Review

Patankar¹,

Sudah²,

Michel³

et al. 2022

J Orthopedics & Orthopedic Surg

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Purpose: Sociodemographic factors have been shown to influence musculoskeletal health. However, little is known regarding the frequency of reporting and analysis of certain sociodemographic variables (e.g., age, sex, height, weight, body mass index (BMI), race, and ethnicity) in randomized clinical trials (RCTs) pertaining to hand surgery. The purpose of this study was to assess the rate of reporting and analysis of these variables in RCTs published in the Journal of Hand Surgery (JHS). Methods: A systematic review was conducted of RCTs published in JHS between 2015 and 2021. For each study, we determined whether the following sociodemographic variables were reported and/or analyzed: age, sex, height, weight, BMI, race, and ethnicity. Frequencies were reported by year and as a cumulative total. Studies were evaluated using the Cochrane risk-of-bias tool. Results: A total of 45 RCTs met inclusion criteria, with about half (53.3%) originating from the United States. Age (97.8%) and sex (91.1%) were the most frequently reported sociodemographic variables, followed by race (17.8%), BMI (11.1%), and ethnicity (8.9%). Age (17.8%) was the most frequently analyzed variable, followed by sex (13.3%), and race (4.4%); the remaining variables were not analyzed in any study. Conclusions: While age and sex are reported at a high rate, only about 1 in 4 RCTs published in JHS report either race or ethnicity. All sociodemographic variables were infrequently included as part of statistical analysis. The significance of these findings should be recognized and used to interpret and enhance the methodology of future RCTs.

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“…All the included RCTs showed moderate to high quality, and their risk of bias is shown in Table 3 , seven RCT studies [ 3 , 7 , 11 - 15 ].…”

Section: Reviewmentioning

confidence: 99%

“…Pellatt et al (2019) [ 15 ] also showed an equivalent effect for both interventions except for length of stay, which showed less time in the buddy taping group. Martínez-Catalán et al (2020) [ 3 ] found an improvement in range of motion, work leave days, visual analog scale (VAS), and DASH score for the buddy taping group compared to the cast group (Table 2 ). In this systematic review, different complications were noticed in five studies [ 3 , 7 , 11 , 12 , 15 ].…”

Section: Reviewmentioning

confidence: 99%

“…Different fractures happen to the metacarpal bone, and one of these fractures is the fifth metacarpal neck fracture, also referred to as a boxer's fracture, which is a crack in the neck of the fifth metacarpal bone due to high velocity [ 1 ]. Metacarpal bone fractures constitute about 40% of hand fractures [ 2 ], and fifth metacarpal neck fractures account for 20% of hand fractures [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

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A Systematic Review and Meta-Analysis of the Efficacy of Buddy Taping Versus Reduction and Casting for Non-operative Management of Closed Fifth Metacarpal Neck Fractures

Mohamed¹,

Paulsingh²,

Ahmed³

et al. 2022

Cureus

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A closed fifth metacarpal neck fracture is a frequently encountered upper limb fracture that occurs when the bone breaks right below the little finger's knuckle. At the moment, there is no agreement on the best way to treat these fractures. This research seeks to look at the efficacy of buddy taping versus reduction and casting for non-operative management of uncomplicated closed fifth metacarpal neck fractures. A systematic review of PubMed, Medical Literature Analysis and Retrieval System Online (MEDLINE), PubMed Central (PMC), and the Cochrane Library databases was carried out using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines to find relevant studies about buddy taping versus reduction and casting for non-operative management. Disabilities of the arm, shoulder, and hand (DASH) score; satisfaction score; visual analog scale (VAS); range of motion (ROM); strength; and other outcomes were reported in this study. We used Review Manager 5.4 (The Cochrane Collaboration, London, UK) for the meta-analysis. Seven trials with a total of 454 patients were considered in the review and four in the quantitative analysis. All the included studies were randomized controlled trials (RCTs). Our study concluded that buddy taping was effective for improving pain, range of motion, and strength. The DASH score and satisfaction score didn't show any significant difference. Thus, we recommend the use of buddy taping rather than plaster and immobilization for the management of uncomplicated closed fifth metacarpal neck fractures.

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A Prospective Randomized Trial Comparing the Functional Results of Buddy Taping Versus Closed Reduction and Cast Immobilization in Patients With Fifth Metacarpal Neck Fractures

Cited by 17 publications

References 19 publications

Splints and immobilisation approaches used for second to fifth metacarpal fractures: a systematic review

Splints and immobilisation approaches used for second to fifth metacarpal fractures: a systematic review

Low Rates of Reporting and Analyzing Race and Ethnicity in Hand Surgery Randomized Controlled Trials: A Systematic Review

A Systematic Review and Meta-Analysis of the Efficacy of Buddy Taping Versus Reduction and Casting for Non-operative Management of Closed Fifth Metacarpal Neck Fractures

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