Syndactyly Versus Closed Reduction in 5th Metacarpal Neck Fracture

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

Status Completed

Clinical Trial Summary

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.

Clinical Trial Description

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. ;

Related Conditions & MeSH terms

• Fractures, Bone
• Metacarpal Fracture
• Syndactyly

• NCT number: NCT03434587
• Study type: Interventional
• Source: Instituto de Investigación Sanitaria de la Fundación Jiménez Díaz
• Status: Completed
• Phase: N/A
• Start date: August 2016
• Completion date: January 31, 2019