Outcome of Boxer's Fractures Treated by a Soft Wrap and Buddy Taping: A Prospective Study

Aaken, Jan van; Kampfen, S.; Berli, Martin; Fritschy, Daniel; Santa, Dominique Della; Fusetti, Cesare

doi:10.1007/s11552-007-9054-2

Cited by 36 publications

(25 citation statements)

References 31 publications

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“…13,14 The proposed limit of fracture angulation to minimize functional deficit is 30°, without shortening or rotational deformity. 15 However, prospective, randomized studies have shown that regardless of fracture angulation or treatment method, adequate short-term [16][17][18][19][20] and long-term 21 outcomes are achieved. The current comprehensive systematic review of all available prospective, randomized studies compares reduction and splint immobilization vs soft wrap without reduction of boxer's fractures.…”

mentioning

confidence: 99%

The Boxer's Fracture: Splint Immobilization Is Not Necessary

Dunn¹,

Kusnezov²,

Orr³

et al. 2016

Orthopedics

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Fractures of the fifth metacarpal neck, or boxer's fractures, are common, particularly among young men. Because of the high frequency of this injury, there is a considerable range of treatment options. The purpose of this systematic review was to determine whether reduction and splint or cast immobilization is necessary for fractures of the fifth metacarpal neck. The authors conducted a systematic review of all published studies that randomized these fractures to cast immobilization vs treatment with soft wrap without reduction. Cast immobilization is not superior to soft wrap without reduction in most cases. The study found that reduction and cast immobilization is not necessary for boxer's fractures. [Orthopedics. 2016; 39(3):188-192.].

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mentioning

confidence: 99%

The Boxer's Fracture: Splint Immobilization Is Not Necessary

Dunn¹,

Kusnezov²,

Orr³

et al. 2016

Orthopedics

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“…The healthy digit acts as a splint, keeping the damaged one in a natural position for healing. It is a well known useful method for treating sprains, dislocations, and other injuries of fingers or toes, especially fifth metacarpal fractures 1,2). Some comparative studies of casting versus taping to treat fifth metacarpal fractures reported that taped patients recovered more quickly and with superior functionality than those in the cast group 1)…”

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confidence: 99%

Buddy Taping: Is It a Safe Method for Treatment of Finger and Toe Injuries?

et al. 2014

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BackgroundBuddy taping is a well known and useful method for treating sprains, dislocations, and other injuries of the fingers or toes. However, the authors have often seen complications associated with buddy taping such as necrosis of the skin, infections, loss of fixation, and limited joint motion. To our knowledge, there are no studies regarding the complications of buddy taping. The purpose of this study was to report the current consensus on treating finger and toe injuries and complications of buddy taping by using a specifically designed questionnaire.MethodsA questionnaire was designed for this study, which was regarding whether the subjects were prescribed buddy taping to treat finger and toe injuries, reasons for not using it, in what step of injury treatment it was use, indications, complications, kinds of tape for fixation, and special methods for preventing skin injury. Fifty-five surgeons agreed to participate in the study and the survey was performed in a direct interview manner at the annual meetings of the Korean Pediatric Orthopedic Association and Korean Society for Surgery of the Hand, in 2012.ResultsForty-eight surgeons (87%) used buddy taping to treat finger and toe injuries, especially proximal interphalangeal (PIP) injuries of the hand, finger fractures, toe fractures, metacarpophalangeal injuries of the hand, and PIP injuries of the foot. Sixty-five percent of the surgeons experienced low compliance. Forty-five percent of the surgeons observed skin injuries on the adhesive area of the tape, and skin injuries between the injured finger and healthy finger were observed by 45% of the surgeons.ConclusionsThis study sheds light on the current consensus and complications of buddy taping among physicians. Low compliance and skin injury should be considered when the clinician treats finger and toe injuries by using buddy taping.

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“…The economic burden is particularly high in these patients as they typically affect young and healthy men (7) leading to missed time from work. Isolated metacarpal injuries can result in up to 3 - 6 weeks of missed time with non-operative management alone (8-10). Therefore, optimizing treatment of these injuries may have significant benefits in both quality of life and return to work for these patients.…”

Section: Contextmentioning

confidence: 99%

Metacarpal Neck Fractures: A Review of Surgical Indications and Techniques

et al. 2016

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ContextHand injuries are a common emergency department presentation. Metacarpal fractures account for 40% of all hand fractures and can be seen in the setting of low or high energy trauma. The most common injury pattern is a metacarpal neck fracture. In this study, the authors aim to review the surgical indications for metacarpal neck fractures, the fixation options available along with the risk and benefits of each.Evidence AcquisitionLiterature review of the different treatment modalities for metacarpal neck fractures. Review focuses on surgical indications and the risks and benefits of different operative techniques.ResultsThe indications for surgery are based on the amount of dorsal angulation of the distal fragment. The ulnar digits can tolerate greater angulation as the radial digits more easily lose grip strength. The most widely utilized fixation techniques are pinning with k-wires, dorsal plating, or intramedullary fixation. There is currently no consensus on an optimal fixation technique as surgical management has been found to have a complication rate up to 36%. Plate and screw fixation demonstrated especially high complication rates.ConclusionsMetacarpal neck fractures are a common injury in young and active patients that results in substantial missed time from work. While the surgical indications are well-described, there is no consensus on the optimal treatment modality because of high complication rates. Dorsal plating has higher complication rates than closed reduction and percutaneous pinning, but is necessary in comminuted fractures. The lack of an ideal fixation construct suggests that further study of the commonly utilized techniques as well as novel techniques is necessary.

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Outcome of Boxer's Fractures Treated by a Soft Wrap and Buddy Taping: A Prospective Study

Cited by 36 publications

References 31 publications

The Boxer's Fracture: Splint Immobilization Is Not Necessary

The Boxer's Fracture: Splint Immobilization Is Not Necessary

Buddy Taping: Is It a Safe Method for Treatment of Finger and Toe Injuries?

Metacarpal Neck Fractures: A Review of Surgical Indications and Techniques

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