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ACE Report #7551
Ace Report Cover Hand & Wrist

Conservative treatment vs. operative bouquet pinning of little finger metacarpal fractures


Study Type:Therapy
OE Level Evidence:2
Journal Level of Evidence:2

Conservative treatment has comparable outcome with bouquet pinning of little finger metacarpal neck fractures: a multicentre randomized controlled study of 85 patients

J Hand Surg Eur Vol. 2015 Jan;40(1):76-83.

Contributing Authors: IN Sletten JC Hellund B Olsen S Clementsen HD Kvernmo L Nordsletten

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Synopsis

85 patients with fifth metacarpal neck fractures and palmar angulation >30 deg were randomized to receive either conservative treatment (plaster-of-Paris cast and buddy strapping) or operative treatment through closed reduction and internal fixation by antegrade intramedullary bouquet pinning. This study aimed to determine if conservative treatment was non-inferior to operative treatment with resp...

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