Metacarpal Fracture Clinical Trial
Official title:
A Randomized, Open-label Trial to Compare the Functional and Radiological Results of Syndactyly Versus Closed Reduction and Immobilization in Patients With 5th Metacarpal Neck Fracture
This study aims to compare the functional results of two different therapeutic approaches in patients that present with a 5th metacarpal neck fracture. Patients will be randomly assigned to be treated with either syndactyly or closed reduction plus inmovilization.
Syndactyly, although limiting the activity of the patient, allows a quick mobilization and
recovery, as well as a better management in daily activities compared with immobilization
with splint. In addition, follow-up of these fractures is difficult due to poor compliance,
since patient profile is young people who give little relevance to their pathology in the
hand.
The purpose of our study is to carry out a randomized clinical trial of good methodological
quality to assess whether immobilization with syndactyly for 3 weeks does not imply loss of
functionality or residual symptoms, avoiding rigidity, postinflammation arthritis or loss of
grip strength, demonstrating that early mobilization of fractures of the fifth metacarpal
provides clinically satisfactory results compared to prolonged immobilization provided that
the volar fracture angle does not exceed 70 ° nor does it produce digital movement
disruption.
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|---|---|---|---|
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