Evidence map›Paper›PMID 33709003›Full record

ReviewOrthopaedic journal of sports medicine2021

Return to Sport After Metacarpal and Phalangeal Fractures: A Systematic Review and Evidence Appraisal.

Luke Geoghegan, Alexander Scarborough, Jeremy N Rodrigues, Mike J Hayton, Maxim D Horwitz

Open access · goldAbstract readReview
In one paragraph

Review in Orthopaedic journal of sports medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.3field-weighted citation impact, top 12% of its field
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

8 citing papers in PubMed, 14 citations in OpenAlex.

  1. Trial
  2. Early return to play after minimally invasive treatment of metacarpal fractures in elite football playersUlusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2025
    Article
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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

5 authors at 3 institutions in 1 country.

Luke GeogheganSection of Vascular Surgery, Department of Surgery and Cancer, Imperial College London, London, UK.
Alexander ScarboroughKings College NHS Foundation Trust, London, UK.
Jeremy N RodriguesDepartment of Plastic Surgery, Stoke Mandeville Hospital, Aylesbury, UK.
Mike J HaytonDepartment of Trauma, Orthopaedic and Hand Surgery, Wrightington, Wigan and Leigh NHS Foundation Trust, Wigan, UK.
Maxim D HorwitzHand Management Unit, Chelsea and Westminster Hospital, London, UK.
Imperial College London · GBKing's College Hospital NHS Foundation Trust · GBStoke Mandeville Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFractures of the metacarpals and phalanges account for more than half of all upper extremity fractures sustained by competitive athletes. PURPOSE: To determine which management strategy is best for expediting return to preinjury levels of competition in adult athletes with metacarpal and/or phalangeal fractures. STUDY

designSystematic review; Level of evidence, 4.

methodsA methodology compliant with PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) was used. A custom search strategy was designed and applied to MEDLINE and In-Process, Embase, EMCARE, and CINAHL.

resultsOverall, 3135 records were identified, of which 8 met full inclusion criteria. All patients returned to preinjury levels of competition, at a mean of 30.6 days for phalangeal fractures and 21.9 days for metacarpal fractures. Meta-analysis demonstrated delayed return-to-sport time for operatively managed metacarpal fractures as compared with nonoperatively managed ones (28.5 vs 22.0 days). All studies were of fair or poor quality, and none were randomized.

conclusionOptimal management strategies for athletes with metacarpal and phalangeal fractures remain equivocal. Injury, treatment, and sport-specific factors may confound results and preclude accurate estimation of optimal treatment strategies at present.

Indexed as

athletic performancefractureshandmetacarpusreturn to sport

Identifiers

PMID33709003
PMCPMC7907947
OpenAlexW3129820231

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.