Centre for Evidence Based Hand Surgery
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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.

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

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