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A Systematic Review of Treatment Interventions for Metacarpal Shaft Fractures in Adults

Taha, Rowa H. M.; Grindlay, Douglas; Deshmukh, Sandeep; Montgomery, Alan; Davis, Tim R. C.; Karanatana, Alexia

A Systematic Review of Treatment Interventions for Metacarpal Shaft Fractures in Adults Thumbnail


Authors

Rowa H. M. Taha

Douglas Grindlay

Sandeep Deshmukh

ALAN MONTGOMERY ALAN.MONTGOMERY@NOTTINGHAM.AC.UK
Director Nottingham Clinical Trials Unit

Tim R. C. Davis

ALEXIA KARANTANA ALEXIA.KARANTANA@NOTTINGHAM.AC.UK
Clinical Associate Professor in Hand Surgery



Abstract

Metacarpal shaft fractures are common hand injuries that predominantly affect younger patients. There is wide variability in their treatment with no consensus on best practice. We performed a systematic review to assess the breadth and quality of available evidence supporting different treatment modalities for metacarpal shaft fractures of the finger digits in adults. A comprehensive search was conducted across multiple databases, in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. A total of 1600 records were identified; 7 studies fulfilled eligibility criteria and were included. No randomized controlled trials directly comparing surgery with nonsurgical treatment were found. One retrospective study compared nonsurgical with surgical treatment, whereas 6 compared surgical or nonsurgical treatments. Considerable heterogeneity between studies along with a high or critical risk of bias restricts direct comparison and conclusions. There is a lack of high-quality evidence to guide treatment, supporting the need for well-designed, multicenter trials to identify the most effective and cost-efficient treatment for metacarpal shaft fractures in adults.

Citation

Taha, R. H. M., Grindlay, D., Deshmukh, S., Montgomery, A., Davis, T. R. C., & Karanatana, A. (2022). A Systematic Review of Treatment Interventions for Metacarpal Shaft Fractures in Adults. Hand, 17(5), 869-878. https://doi.org/10.1177/1558944720974363

Journal Article Type Review
Acceptance Date Sep 21, 2020
Online Publication Date Nov 30, 2020
Publication Date Sep 1, 2022
Deposit Date Oct 13, 2020
Publicly Available Date Nov 30, 2020
Journal HAND
Print ISSN 1558-9447
Electronic ISSN 1558-9455
Publisher SAGE Publications
Peer Reviewed Peer Reviewed
Volume 17
Issue 5
Pages 869-878
DOI https://doi.org/10.1177/1558944720974363
Keywords fracture/dislocation, diagnosis, finger, trauma, treatment, research and health outcomes, evaluation
Public URL https://nottingham-repository.worktribe.com/output/4961664
Publisher URL https://journals.sagepub.com/doi/10.1177/1558944720974363

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