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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
72
Syndactyly
Closed reduction and inmobilization with splint
Fundacion Jimenez Diaz
Madrid, Spain
Disabilities of the Arm, Shoulder and Hand (DASH) score
Comparison of DASH score at 9 weeks of emergency care in both treatment groups. Score range is from 0 to 100
Time frame: 9 weeks
Disabilities of the Arm, Shoulder and Hand (DASH) score
Comparison of DASH score at 3,6 weeks, 3 months and 1 year of emergency care in both treatment groups.
Time frame: 3 weeks, 1 year
Time to go back to job and sports
Comparison of the time to incorporation into the work and sports activity between both groups.
Time frame: 1 year
Angulation,
Comparison of angulation between both groups
Time frame: 3 weeks, 9 weeks
Range of mobility
Comparison of range of mobility between both groups
Time frame: 3 weeks, 9 weeks
Grip strength
Comparison of grip strength between both groups
Time frame: 3 weeks, 9 weeks
Visual Analogic Scale (VAS) for Pain score
Comparison of VAS score
Time frame: 3 weeks, 9 weeks, 1 year
Complication rate
Frequency of complications
Time frame: 1 year
Patient satisfaction (Modified Cooney Scale)
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Satisfaction with the assigned treatment and its result between groups, measured by the modified cooney scale that ranges from 0 to 100
Time frame: 1 year