Are lateral X-rays useful in the treatment of fractures of the fourth and fifth metacarpals?
During initial and follow-up evaluation of fractures of the fourth or fifth metacarpal, X-rays in PA and oblique pronated views are taken. Routine straight lateral X-rays are also often made in the expectation that they will reveal additional information. The additional value was evaluated of 408 lateral X-rays taken of fourth and fifth metacarpal fractures in 160 conservatively treated patients. No clinically relevant information would have been missed if lateral X-rays had been made selectively. Routine X-rays during treatment of these fractures should initially be limited to PA and oblique pronated views. Only after confirmation of a proximal comminuted fracture or signs of a pronounced anteroposterior dislocation, is an additional lateral X-ray indicated.
Braakman
M
M
Orthopaedic Department, St Jans Gasthuis, Weert, The Netherlands.
D000293:Adolescent; D000328:Adult; D000368:Aged; D002370:Casts, Surgical; D005069:Evaluation Studies as Topic; D005596:Fractures, Closed / Q000000981:diagnostic imaging* / Q000628:therapy; D006801:Humans; D008663:Metacarpus / Q000000981:diagnostic imaging* / Q000293:injuries*; D008875:Middle Aged; D011859:Radiography