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We compare buddy taping with plaster casting for uncomplicated fifth metacarpal (boxer's) fractures. We hypothesize buddy taping will give superior functional outcomes at 12 weeks, defined as a 10-point difference on the Shortened Disabilities of the Arm, Shoulder and Hand (quickDASH) score. Methods: This randomized controlled trial included patients aged 18 to 70 years, with uncomplicated boxer's fractures in 2 hospitals in Queensland, Australia. The intervention consisted of buddy taping of the ring and little fingers on the affected side, in which the control group received plaster casting. Primary outcome was hand function as measured by quickDASH score (0 to 100, with 0 indicating no disability) at 12 weeks. Secondary outcomes measured at 3, 6, and 12 weeks included time off work and activities, pain, satisfaction, and the EuroQol 5-Dimension 3-Level score (measure of overall health). Results: Ninety-seven patients with primary endpoint data were available for analysis, 48 in the buddy taping group and 49 in the plaster group. At 12 weeks, median quickDASH scores were the same for both groups (buddy 0, interquartile range [IQR] 0 to 2.3; plaster 0, IQR 0 to 4; difference 0; 95% confidence interval of the difference 0 to 0). Patients in the buddy taping group missed a median 0 days (IQR 0 to 7) of work compared with the plaster group's 2 days (IQR 0 to 14). Other secondary outcome measures were the same in both groups. Conclusion: We found that patients with boxer's fractures who were randomized to buddy taping had functional outcomes similar to those of patients randomized to plaster cast at 12 weeks. We advocate a minimal intervention such as buddy taping for uncomplicated boxer's fractures. [

This work reveals the analysis outcomes for craniometric and morphometric parameters of the temporomandibular joints and incisal dentofacial segments obtained through studying 157 computer tomograms and lateral skull teleradiographies from people with physiological occlusion of permanent teeth in the first mature age period. Detailed investigation of the spatial arrangement of the craniofacial structures allowed developing, substantiating and testing a method of computer tomograms combination of the mandibular joint and dentofacial segments of the mandibular and maxillary medial incisors with head teleradiographies in the lateral projection. This algorithm allowed increasing the measurements reliability (linear, angular) in the sagittal plane, identifying the degree of complexity and justifying the choice of tactics for the planned treatment, describing the facial skull growth type (horizontal, vertical and neutral), as well as evaluating the effectiveness of orthodontic treatment at all stages.

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