Centre for Evidence Based Hand Surgery


Metacarpal fractures & injuries




Conservative treatment for closed fifth (small finger) metacarpal neck fractures.
Poolman RW, Goslings JC, Lee JB, Statius Muller M, Steller EP, Struijs PA.
Cochrane Database Syst Rev. 2005 Jul 20;(3):CD003210.

Retrograde intramedullary screw fixation for metacarpal fractures: A systematic review.
Morway GR, Rider T, Jones CM.
Hand (N Y). 2021 Feb 3:1558944720988073. doi: 10.1177/1558944720988073. Online ahead of print.

Diagnostic accuracy of ultrasound and magnetic resonance imaging in detecting Stener lesions of the thumb: systematic review and meta-analysis.
Qamhawi Z, Shah K, Kiernan G, Furniss D, Teh J, Azzopardi C.
J Hand Surg Eur Vol. 2021 Feb 17:1753193421993015. doi: 10.1177/1753193421993015. Online ahead of print.

Evidence-based use of clinical examination, ultrasonography, and MRI for diagnosing ulnar collateral ligament tears of the metacarpophalangeal joint of the thumb: systematic review and meta-analysis.
Rashidi A, Haj-Mirzaian A, Dalili D, Fritz B, Fritz J.
Eur Radiol. 2021 Jan 18. doi: 10.1007/s00330-020-07666-z. Online ahead of print.

A systematic review of treatment interventions for metacarpal shaft fractures in adults.
Taha RHM, Grindlay D, Deshmukh S, Montgomery A, Davis TRC, Karantana A.
Hand (N Y). 2020 Nov 30:1558944720974363. doi: 10.1177/1558944720974363. Online ahead of print.

Pin vs plate fixation for metacarpal fractures: a meta-analysis.
Zhu X, Zhang H, Wu J, Wang S, Miao L.
J Orthop Surg Res. 2020 Nov 19;15(1):542. doi: 10.1186/s13018-020-02057-y.

Challenging the dogma: severely angulated neck fractures of the fifth metacarpal must be treated surgically.
Boeckstyns MEH.
J Hand Surg Eur Vol. 2020 Nov 1:1753193420968040. doi: 10.1177/1753193420968040. Online ahead of print.

Surgical management of ulnar metacarpal base fracture-dislocations: A systematic review.
Fuller JB, Piscoya AS, Clark DM, Markose K, Dunn JC.
Hand (N Y). 2020 Aug 8:1558944720948241. doi: 10.1177/1558944720948241. Online ahead of print.

Surgical or non-surgical treatment of traumatic skeletal fractures in adults: systematic review and meta-analysis of benefits and harms.
Skou ST, Juhl CB, Hare KB, Lohmander LS, Roos EM.
Syst Rev. 2020 Aug 13;9(1):179. doi: 10.1186/s13643-020-01424-4.

An analysis of complications and bone defect length with the use of induced membrane technique in the upper limb: A systematic review.
O'Connor CM, Perloff E, Drinane J, Cole K, Marinello PG.
Hand (N Y). 2020 Jul 15:1558944720918368. doi: 10.1177/1558944720918368. Online ahead of print.

Diagnostic accuracy of history taking, physical examination and imaging for phalangeal, metacarpal and carpal fractures: a systematic review update.
Krastman P, Mathijssen NM, Bierma-Zeinstra SMA, Kraan G, Runhaar J.
BMC Musculoskelet Disord. 2020 Jan 7;21(1):12. doi: 10.1186/s12891-019-2988-z.

The value of ultrasound for detecting hand fractures: A meta-analysis.
Zhao W, Wang G, Chen B, Xiao J, Sun X, Wu T, Ren H, Li X.
Medicine (Baltimore). 2019 Nov;98(44):e17823. doi: 10.1097/MD.0000000000017823.

Treatment interventions for hand fractures and joint injuries: a scoping review of randomized controlled trials.
Mousoulis C, Thomas K, Leighton P, Deshmukh S, Grindlay D, Karantana A.
J Hand Surg Eur Vol. 2019 Aug 5:1753193419865897. doi: 10.1177/1753193419865897. [Epub ahead of print]

Open reduction and internal fixation versus closed reduction and percutaneous fixation in the treatment of Bennett fractures: A systematic review.
Greeven APA, Van Groningen J, Schep NWL, Van Lieshout EMM, Verhofstad MHJ.
Injury. 2019 Jun 28. pii: S0020-1383(19)30390-0. doi: 10.1016/j.injury.2019.06.027. [Epub ahead of print]

Intramedullary screw fixation of metacarpal fractures results in excellent functional outcomes: A literature review.
Beck CM, Horesh E, Taub PJ.
Plast Reconstr Surg. 2019 Apr;143(4):1111-1118. doi: 10.1097/PRS.0000000000005478.

Management of Extra-articular Fractures of the Fifth Metacarpal: Operative vs. Non-opeRaTive TrEatment (FORTE) – A Systematic Review and Meta-Analysis.
Wormald JC, Claireaux HA, Gardiner MD, Jain A, Furniss D, Costa ML.
JPRAS Open. 2019 June;20:59-71. doi: 10.1016/j.jpra.2019.02.001.

Surgical fixation of metacarpal shaft fractures using absorbable implants: A systematic review of the literature.
Hazan J, Azzi AJ, Thibaudeau S.
Hand (N Y). 2019 Jan;14(1):19-26. doi: 10.1177/1558944718798856. Epub 2018 Sep 21.

A systematic review of the influence of burying or not burying Kirschner wires on infection rates following fixation of upper extremity fractures.
Wormald JCR, Jain A, Lloyd-Hughes H, Gardiner S, Gardiner MD.
J Plast Reconstr Aesthet Surg. 2017 Sep;70(9):1298-1301. doi: 10.1016/j.bjps.2017.06.036. Epub 2017 Jul 8. 

Timing of debridement and infection rates in open fractures of the hand: A systematic review.
Ketonis C, Dwyer J, Ilyas AM.
Hand (N Y). 2017 Mar;12(2):119-126. doi: 10.1177/1558944716643294. Epub 2016 Jul 8.

Plate fixation versus percutaneous pinning for unstable metacarpal fractures: A meta-analysis.
Melamed E, Joo L, Lin E, Perretta D, Capo JT.
J Hand Surg Asian Pac Vol. 2017 Mar;22(1):29-34. doi: 10.1142/S0218810417500058.

Effectiveness of occupational therapy interventions for adults with musculoskeletal conditions of the forearm, wrist, and hand: A systematic review.
Roll SC, Hardison ME.
Am J Occup Ther. 2017 Jan/Feb;71(1):7101180010p1-7101180010p12. doi: 10.5014/ajot.2017.023234.

Predicting serious complications and high cost of treatment of tooth-knuckle injuries: a systematic literature review.
Smith HR, Hartman H, Loveridge J, Gunnarsson R.
Eur J Trauma Emerg Surg. 2016 Dec;42(6):701-710. Epub 2016 Jun 30.

A scoping review of applications and outcomes of traction orthoses and constructs for the management of intra-articular fractures and fracture dislocations in the hand.
Packham TL, Ball PD, MacDermid JC, Bain JR, DalCin A.
J Hand Ther. 2016 Jul-Sep;29(3):246-68. doi: 10.1016/j.jht.2016.04.001.

The boxer's fracture: splint immobilization is not necessary.
Dunn JC, Kusnezov N, Orr JD, Pallis M, Mitchell JS.
Orthopedics. 2016 May 1;39(3):188-92. doi: 10.3928/01477447-20160315-05. Epub 2016 Mar 29.

Treatments for the fifth metacarpal neck fractures: a network meta-analysis of randomized controlled trials.
Zong SL, Zhao G, Su LX, Liang WD, Li LG, Cheng G, Wang AJ, Cao XQ, Zheng QT, Li LD, Kan SL.
Medicine (Baltimore). 2016 Mar;95(11):e3059. doi: 10.1097/MD.0000000000003059.

Open reduction and internal fixation versus percutaneous transverse Kirschner wire fixation for single, closed second to fifth metacarpal shaft fractures: a systematic review.
Greeven AP, Bezstarosti S, Krijnen P, Schipper IB.
Eur J Trauma Emerg Surg. 2016 Apr;42(2):169-75. doi: 10.1007/s00068-015-0507-y. Epub 2015 Mar 14.

Open metacarpophalangeal dislocations: literature review and case report.
Diaz Abele J, Thibaudeau S, Luc M.
Hand (N Y). 2015 Jun;10(2):333-7. doi: 10.1007/s11552-014-9646-6.

Antegrade intramedullary nailing for fifth metacarpal neck fractures: a systematic review and meta-analysis.
Yammine K, Harvey A.
Eur J Orthop Surg Traumatol. 2014 Apr;24(3):273-8. doi: 10.1007/s00590-013-1344-5. Epub 2013 Oct 27.

Systematic review of the best evidence in intramedullary fixation for metacarpal fractures.
Corkum JP, Davison PG, Lalonde DH.
Hand (N Y). 2013 Sep;8(3):253-60. doi: 10.1007/s11552-013-9531-8.

RETRACTEDMini-plate versus Kirschner wire internal fixation for treatment of metacarpal and phalangeal fractures in Chinese Han population: a meta-analysis.
Xu J, Zhang C.
J Orthop Surg Res. 2014 Apr 11;9:24. doi: 10.1186/1749-799X-9-24.
Retraction: J Orthop Surg Res. 2015 Mar 26;10:43.


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Centre for Evidence Based Hand Surgery

The University of Nottingham
C Floor, West Block, QMC
Nottingham, NG7 2UH

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