Evidence map›Paper›PMID 33252278›Full record

SynthesisHand (New York, N.Y.)2022

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

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

Abstract readSystematic Review
In one paragraph

Synthesis in Hand (New York, N.Y.), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Biomechanical Characterization of Metacarpal Fixation: Internal Load Determination and Evaluation of a Novel Adhesive Osteosynthesis.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2025
    Article
  5. Management of metacarpal shaft fractures: a survey of current UK practice.Annals of the Royal College of Surgeons of England · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Non-operative treatment of metacarpal fractures and patient-reported outcomes: a multicentre snapshot study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
    Article
  10. Article
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Rowa H M TahaUniversity of Nottingham, UK.ORCID 0000-0002-2403-5107
Douglas GrindlayUniversity of Nottingham, UK.
Sandeep DeshmukhUniversity of Nottingham, UK.
Alan MontgomeryUniversity of Nottingham, UK.
Tim R C DavisNottingham University Hospitals NHS Trust, UK.
Alexia KarantanaUniversity of Nottingham, UK.ORCID 0000-0003-3742-5646

Funding

Department of Health NIHR300197
6 · The paper itself

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.

Indexed as

Fractures, BoneHand InjuriesMetacarpal BonesAdultFracture Fixation, InternalHumansRetrospective Studiesdiagnosisevaluationfingerfracture/dislocationresearch and health outcomestraumatreatment

Identifiers

PMID33252278
PMCPMC9465778

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.