Swelling or Malrotation of Metacarpal Shaft Fractures in the Evaluation of Rotational Deformity

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Study Classification

OBSERVATIONAL

Study Start Date

2009-08-31

Brief Summary

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Rotational deformity or malunion causes the most significant functional deficit in these common fractures. The evaluation of the rotation may be performed with the metacarpophalangeal joints flexed although postoperative swelling may not enable this examination with flexion of the fingers. Furthermore, it has been shown that swelling may cause rotation of the digit itself. The investigators propose that the swelling may cause a mistake in the estimation of rotation, during surgery and early follow up period. This is of special importance when open reduction and rigid fixation is performed.

Methods:

Prospective analysis of XX isolated metacarpal fractures treated, in YY patients was performed. End-on view of the finger-nail was taken with a digital camera on the day of OR, at 2 weeks and at 1 year. The photos were taken on a standard apparatus and from a distance of XX cm and evaluated using ZZ software in comparison with photos taken of the other hand, according to the involved digit. Range of motion, type of fracture and type of fixation were compared.

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Detailed Description

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Conditions

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Metacarpal Shaft Fractures

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Metacarpal Shaft Fractures

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

1. isolated metacarpal fractures in one hand- fingers 2, 3, 4, 5
2. treated with cast or surgical treatment , closed or open reduction

Exclusion Criteria

1. multiple fractures simultaneously
2. fractures in both hands
3. former fracture in one of the fingers, two palms,metacarpal,proximal phalanx (with exception of the thumb)
4. open fracture, open wounds, infection
5. pregnancy, inability performing full x-ray follow up

Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No