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Boxer's fractures--conservative or operative management? 1987

J McKerrell, and V Bowen, and G Johnston, and J Zondervan

Sixty-three consecutive patients presented during an 18-month period with isolated closed fractures of the fifth metacarpal neck. Follow-up ranged from 3 to 20 months. Forty were recalled for study and divided into a conservative group (25 patients) and an operative group (15 patients). Both groups were statistically comparable. All patients obtained good results. Subjectively, no patient had long-term pain or dissatisfaction with the functional or cosmetic result. Objectively, all patients regained full joint motion and normal grip strength. Mild rotatory malalignment was present in both groups, but the conservative group had less extensor lag. The main difference between the two groups centered on residual dorsal angulation. This cosmetic deformity was considerably less in the operative group, although the cost of this improvement was significantly longer rehabilitation. Failure to correct dorsal angulation was not associated with functional disability.

UI MeSH Term Description Entries
D007839 Functional Laterality Behavioral manifestations of cerebral dominance in which there is preferential use and superior functioning of either the left or the right side, as in the preferred use of the right hand or right foot. Ambidexterity,Behavioral Laterality,Handedness,Laterality of Motor Control,Mirror Writing,Laterality, Behavioral,Laterality, Functional,Mirror Writings,Motor Control Laterality,Writing, Mirror,Writings, Mirror
D008297 Male Males
D008662 Metacarpophalangeal Joint The articulation between a metacarpal bone and a phalanx. Joint, Metacarpophalangeal,Joints, Metacarpophalangeal,Metacarpophalangeal Joints
D008663 Metacarpus The region of the HAND between the WRIST and the FINGERS.
D009790 Occupations Crafts, trades, professions, or other means of earning a living. Vocations,Occupation,Vocation
D010043 Outcome and Process Assessment, Health Care Evaluation procedures that focus on both the outcome or status (OUTCOMES ASSESSMENT) of the patient at the end of an episode of care - presence of symptoms, level of activity, and mortality; and the process (ASSESSMENT, PROCESS) - what is done for the patient diagnostically and therapeutically. Outcome and Process Assessment (Health Care),Donabedian Model,Donabedian Triad,Outcome and Process Assessment,Structure Process Outcome Triad,Model, Donabedian,Triad, Donabedian
D010549 Personal Satisfaction The individual's experience of a sense of fulfillment of a need or want and the quality or state of being satisfied. Life Satisfaction,Satisfaction,Life Satisfactions,Satisfaction, Life,Satisfaction, Personal,Satisfactions, Life
D002370 Casts, Surgical Dressings made of fiberglass, plastic, or bandage impregnated with plaster of paris used for immobilization of various parts of the body in cases of fractures, dislocations, and infected wounds. In comparison with plaster casts, casts made of fiberglass or plastic are lightweight, radiolucent, able to withstand moisture, and less rigid. Fiberglass Casts,Plaster Casts,Plastic Casts,Cast, Surgical,Surgical Cast,Surgical Casts,Cast, Fiberglass,Cast, Plaster,Cast, Plastic,Casts, Fiberglass,Casts, Plaster,Casts, Plastic,Fiberglass Cast,Plaster Cast,Plastic Cast
D005260 Female Females
D005592 Fracture Fixation The use of metallic devices inserted into or through bone to hold a fracture in a set position and alignment while it heals. Skeletal Fixation,Fracture Reduction,Fixation, Fracture,Fixation, Skeletal,Fixations, Fracture,Fixations, Skeletal,Fracture Fixations,Fracture Reductions,Reduction, Fracture,Reductions, Fracture,Skeletal Fixations

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