Erratum to: Fifth metacarpal neck fractures treated with soft wrap/buddy taping compared to reduction and casting: results of a prospective, multicenter, randomized trial

Aaken, Jan van; Fusetti, Cesare; Lucchina, Stefano; Brunetti, S; Beaulieu, Jean-Yves; Gayet-Ageron, Angèle; Hanna, Kathryn; Shin, Alexander Y.; Hofmeister, Eric P.

doi:10.1007/s00402-016-2564-z

Cited by 3 publications

(15 citation statements)

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“…12 Comparatively, functional strapping or taping allows early mobilization and as such might allow earlier return to work and improved hand function. [10][11][12] Existing literature has either been underpowered or unable to detect a difference in patient functional outcomes or has concentrated on radiologic and physical measurements. 2 Functional outcomes are patient centered and arguably more important than surrogate outcomes.…”

Section: Importancementioning

confidence: 99%

“…15 The demographic associated with boxer's fractures is not always compliant with follow-up, as evidenced in previous studies. 10,16 A less cumbersome intervention, such as functional taping, might benefit the patient and reduce the need for orthopedic follow-up, requiring fewer radiographic and specialist reviews. 16,17 Outcomes at a patient, hospital, and community level might be significantly influenced by management choice.…”

Section: Importancementioning

confidence: 99%

“…Higher scores equate to a higher degree of disability. The measure has been used previously when functional outcomes of boxer's fractures have been assessed 10 and has been validated for use in person, as well as over the telephone. 19,20 quickDASH scores were measured at 12 weeks as the primary outcome and compared between the 2 groups.…”

Section: Outcome Measuresmentioning

confidence: 99%

“…6,7 A range of options exists, such as immobilization in a cast, buddy taping of the ring and little fingers, and functional strapping of the affected hand. 2,[8][9][10][11][12][13] A 2005 Cochrane review found that existing studies comparing interventions for boxer's fractures were underpowered to detect a difference in functional outcomes, and could not clearly recommend one modality over another. 2 In more recent randomized controlled trials and meta-analyses, functional outcomes were similar.…”

Section: Introduction Backgroundmentioning

confidence: 99%

“…2 In more recent randomized controlled trials and meta-analyses, functional outcomes were similar. 9,10,14 Because discomfort, hand function, and ability to work may be considered variably per patient-clinician interaction, the current data are insufficient to provide consensus for the optimal management of patients with boxer's fractures. 2,9 Editor's Capsule Summary What is already known on this topic Plaster immobilization is a standard emergency department (ED) treatment for patients with a fifth metacarpal (boxer's) fracture, but buddy taping is less studied.…”

Section: Introduction Backgroundmentioning

confidence: 99%

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Is Buddy Taping as Effective as Plaster Immobilization for Adults With an Uncomplicated Neck of Fifth Metacarpal Fracture? A Randomized Controlled Trial

Pellatt

Fomin

Pienaar

et al. 2019

Annals of Emergency Medicine

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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. [

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Section: Importancementioning

confidence: 99%

Section: Importancementioning

confidence: 99%

Section: Outcome Measuresmentioning

confidence: 99%

Section: Introduction Backgroundmentioning

confidence: 99%

Section: Introduction Backgroundmentioning

confidence: 99%

See 3 more Smart Citations

Is Buddy Taping as Effective as Plaster Immobilization for Adults With an Uncomplicated Neck of Fifth Metacarpal Fracture? A Randomized Controlled Trial

Pellatt

Fomin

Pienaar

et al. 2019

Annals of Emergency Medicine

View full text Add to dashboard Cite

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Development of a clinical hand rehabilitation guideline for second to fifth metacarpal fracture rehabilitation: A Delphi method

Keller,

Barnes,

Brandt

2024

British Journal of Occupational Therapy

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Introduction: Metacarpal fractures are viewed as minor injuries, potentially leading to reduced hand function and productivity, especially in working-age people. The study aimed to develop and finalise a second to fifth metacarpal fractures clinical hand rehabilitation guideline. Methods: A three-round eDelphi method, employing REDCap questionnaires and informed by a previous clinical hand rehabilitation guideline, facilitated expert consensus. Experience and qualifications guided expert selection. Consensus was defined as 75% or more experts selecting four or five on a Likert scale or ‘yes’ in ‘yes/no’ questions. Open-ended responses were incorporated, following Conducting and Reporting of Delphi Studies recommendations. Results: Fifteen experts specialising in hand injury management, including orthopaedic surgeons, occupational therapists and physiotherapists, were invited to participate, with attrition of one expert in three rounds. In Round 1, 10 (28.5%), Round 2, 6 (18%) and Round 3, 16 (36%) guideline statements were accepted. Consensus was reached for including grasp types in rehabilitation; activities of daily living (ADLs) types under light, medium and heavy categories; time when early active mobilisation should commence and splint types after conservative management, K-wires and surgical fixation. Conclusion: The finalised clinical hand rehabilitation guideline based on the Occupational Therapy Intervention Process Model (OTIPM) framework may benefit occupation return.

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Prospective Multicenter Randomized Controlled Trial Comparing Early Protected Movement and Splinting for Fifth Metacarpal Neck Fracture

et al. 2021

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Background: Fifth metacarpal neck fractures account for 20% of all hand fractures, yet there remains debate with respect to management, particularly when conservative treatment is initiated. The objective of this study is to compare functional and patient-reported outcomes (PROs) in patients treated with early protected movement or splint immobilization. Methods: This national multicenter prospective randomized controlled trial compared 2 groups; elastic bandage with early protected movement versus immobilization with splinting. Demographic characteristics were collected at baseline. Functional outcomes (grip strength testing) and PROs (Brief Michigan Hand Questionnaire [bMHQ]) were collected at 4, 8, and 12 weeks post-intervention. Grip strength values of the injured hand were normalized to both the non-injured hand (at baseline), and the Canadian reference values. Results: Thirty-seven participants from 5 Canadian centers were randomized into the splint (n = 21) or elastic bandage group (n = 16). There were no significant differences in the bMHQ score between the splint (52.1 ± 27.2) or the elastic bandage (46.6 ± 20.4) groups ( P = .51). There were no differences in baseline grip strength between the splint (15.3 ± 8.9 kg) and elastic bandage (19.9 ± 7.5 kg) groups. At 8 weeks, the elastic bandage group had a significantly higher grip strength than the splint group (93% vs 64%, respectively: P < .05), when standardized as a percentage of the Canadian reference values. Conclusion: Patients with Boxer’s fractures treated with early protected movement had better functional outcomes by 8 weeks post-treatment as compared to the Canadian reference values of those treated with immobilization and splinting. Providers should manage Boxer’s fractures with early protected movement.

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Erratum to: Fifth metacarpal neck fractures treated with soft wrap/buddy taping compared to reduction and casting: results of a prospective, multicenter, randomized trial

Cited by 3 publications

References 0 publications

Is Buddy Taping as Effective as Plaster Immobilization for Adults With an Uncomplicated Neck of Fifth Metacarpal Fracture? A Randomized Controlled Trial

Is Buddy Taping as Effective as Plaster Immobilization for Adults With an Uncomplicated Neck of Fifth Metacarpal Fracture? A Randomized Controlled Trial

Development of a clinical hand rehabilitation guideline for second to fifth metacarpal fracture rehabilitation: A Delphi method

Prospective Multicenter Randomized Controlled Trial Comparing Early Protected Movement and Splinting for Fifth Metacarpal Neck Fracture

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