Metacarpal fractures in athletes: Treatment, rehabilitation, and safe early return to play

Singletary, Shannon; Freeland, Alan E.; Jarrett, Christopher

doi:10.1016/s0894-1130(03)80012-1

Cited by 40 publications

(15 citation statements)

References 22 publications

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“…39 80% of metacarpal fractures in athletes are minimally or nondisplaced, 5% remain stable after reduction and can be maintained with functional bracing, and the remaining 15% require surgical treatment. 40 …”

Section: Bone Injuriesmentioning

confidence: 99%

Finger Injuries in Football and Rugby

Elzinga

Chung

2017

Hand Clinics

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SYNOPSIS Football and rugby athletes are at increased risk of finger injuries given the full contact nature of these sports. Depending on the injury and the position played, some players may return to play early with protective taping, splinting, and casting. Other injuries, particularly in players requiring the full use of their hand for their position, require a longer rehabilitation period and prolonged time away from the field. The treating hand surgeon must carefully weigh the benefits of early return to play for the athlete’s current season and future playing career against the risks of re-injury and long-term morbidity, including post-traumatic arthritis and decreased range of motion and strength. Each player must be comprehensively assessed and managed with an individualized treatment plan.

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Section: Bone Injuriesmentioning

confidence: 99%

Finger Injuries in Football and Rugby

Elzinga

Chung

2017

Hand Clinics

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“…Seventy degrees of MP joint flexion reduces the intrinsic and extrinsic flexors influence on dorsal angulation. 90 The IP joints are free to move during the day but strapped into extension at night to prevent flexion contractures ( Figure 5B). Buddy strapping of the injured digit to a noninjured adjacent finger, especially in oblique fractures, is protective against malrotation and facilitates early motion.…”

Section: Metacarpal Shaft Fracturementioning

confidence: 99%

Principles of Metacarpal and Phalangeal Fracture Management: A Review of Rehabilitation Concepts

Hardy¹

2004

J Orthop Sports Phys Ther

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Patients with common hand fractures are likely to present in a wide variety of outpatient orthopedic practices. Successful rehabilitation of hand fractures addresses the need to (1) maintain fracture stability for bone healing, (2) introduce soft tissue mobilization for soft tissue integrity, and (3) remodel any restrictive scar from injury or surgery. It is important to recognize the intimate relationship of these 3 tissues (bone, soft tissue, and scar) when treating hand fractures. Fracture terminology precisely defines fracture type, location, and management strategy for hand fractures. These terms are reviewed, with emphasis on their operational definitions, as they relate to the course of therapy. The progression of motion protocols is dependent on the type of fracture healing, either primary or secondary, which in turn is determined by the method of fracture fixation. Current closed-and open-fixation methods for metacarpal and phalangeal fractures are addressed for each fracture location. The potential soft tissue problems that are often associated with each type of fracture are explained, with preventative methods of splinting and treatment. A comprehensive literature review is provided to compare evidence for practice in managing the variety of fracture patterns associated with metacarpal and phalangeal fractures, following closedand open-fixation techniques. Emphasis is placed on initial hand positioning to protect the fracture reduction, exercise to maintain or regain joint range of motion, and specific tendon-gliding exercises to prevent restrictive adhesions, all of which are necessary to assure return of function post fracture.

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“…Singletary and colleagues [18] reported that athletes, coaches, and parents may pressure the treating physician to return an athlete to sports competition earlier than deemed safe. The potential complications of surgery and the inherent risks of early return to competition must be weighed against the desires of these individuals.…”

Section: Shaft Fractures Of the Proximal And Middle Phalangesmentioning

confidence: 99%