title: [Conservative treatment of metacarpal fracture].
abstract: Conservative treatment of meatacarpale fracture is recommended if there are no joint displacement, rotation failures, displacement over 30 degrees ad axim and shortening over 5 mm. Operative procedures should be done in open fractures and serial of fractures of metacarpale bones. Early functionally treatment should be done in stable, not displaced fractures. Cast can be used only for a short time in full extended position of fingers and flexion in metacarpo-phalangeal joint in 60-90 degrees. Twin-tapes after reduction of edema allowed free range of motion by fixed rotation. Closed reduction of displaced fractures of fifth metacarpal bone (boxer's fracture) isn't successful. Cases with displacement over 30 degrees may be operatively treated by intramedullary stabilization.
authors.affiliation: Unfall-, Hand- und Wiederherstellungschirurgie, Klinikum der Universität zu Köln, 50924 Köln. axel.prokop@uni-koeln.de
authors.forename: A
authors.initials: A
authors.lastname: Prokop
authors.forename: H J
authors.initials: HJ
authors.lastname: Helling
authors.forename: S
authors.initials: S
authors.lastname: Kulus
authors.forename: K E
authors.initials: KE
authors.lastname: Rehm
mesh_terms: D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D005592:Fracture Fixation / Q000379:methods*; D005593:Fracture Fixation, Internal / Q000379:methods; D017102:Fracture Healing / Q000502:physiology; D018460:Fractures, Comminuted / Q000601:surgery; D005597:Fractures, Open / Q000601:surgery; D006230:Hand Injuries / Q000601:surgery*; D006801:Humans; D007103:Immobilization; D008297:Male; D008663:Metacarpus / Q000293:injuries* / Q000601:surgery
vernacular_title: Die konservative Behandlung der Metacarpalfraktur.