Evidence map›Paper›PMID 34729287›Full record

ReviewPlastic and reconstructive surgery. Global open2021

Phalangeal and Metacarpal Fractures of the Hand: Preventing Stiffness.

Michael W Neumeister, James N Winters, Erica Maduakolum

Open access · goldAbstract readReview
In one paragraph

Review in Plastic and reconstructive surgery. Global open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.6field-weighted citation impact, top 6% 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

13 citing papers in PubMed, 26 citations in OpenAlex.

  1. Trial
  2. Article
  3. The Impact of Socioeconomic Status on Timely Presentation and Treatment in Pediatric Hand Fractures.Journal of the Pediatric Orthopaedic Society of North America · 2026
    Article
  4. Article
  5. Anatomical distribution and treatment for fractures and dislocations of the proximal and middle phalanges: a multicentre snapshot study of 461 patients.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. The Treatment of Closed Finger and Metacarpal Fractures.Deutsches Arzteblatt international · 2023
    Review
  11. Article
  12. Article
  13. 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

3 authors at 2 institutions in 1 country.

Michael W NeumeisterInstitute for Plastic Surgery, Southern Illinois University School of Medicine, Springfield, Illinois.
James N WintersInstitute for Plastic Surgery, Southern Illinois University School of Medicine, Springfield, Illinois.
Erica MaduakolumUniversity of Iowa, Iowa City, Iowa.
Southern Illinois University School of Medicine · USUniversity of Iowa · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Fractures of the phalangeal or metacarpal bones of the hand are common. Many of these fractures are treated without surgery. However, both conservative and operative management of fractures of the hand can result in stiffness. Stiffness is the most common complication in the management of hand fractures. The key to preventing stiffness is early range of motion exercises. This article challenges many of the current treatment regimens offered to patients with the so-called unstable fractures. The evaluation of the patients' function is the primary factor that should determine the course of conservation versus operative management. X-rays do not demonstrate function and therefore act as an adjunct only to the care of the patient. The goal of treating hand fractures is to restore function. Early motion may not only improve healing but may also hasten the return to normal hand function. The tenets of how to prevent stiffness are described in this review.

Identifiers

PMID34729287
PMCPMC8553242
OpenAlexW3208295265

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.