Evidence map›Paper›PMID 36759403›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2023

Outcome of functional treatment with a Lucerne Cast in patients with hand fractures: a retrospective case series.

Priscilla A Jawahier, Dorien A Salentijn, Nadine M Teunissen, Frank J P Beeres, Mark van Heijl, Niels W L Schep

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Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.3field-weighted citation impact, top 22% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
  3. 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
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 at 3 institutions in 2 countries.

Priscilla A JawahierDepartment of Hand and Wrist Surgery, Maasstad Hospital, Maasstadweg 21, 3070 DZ, Rotterdam, The Netherlands. jawahierp@maasstadziekenhuis.nl.ORCID http://orcid.org/0000-0002-0812-7685
Dorien A SalentijnDepartment of Hand and Wrist Surgery, Maasstad Hospital, Maasstadweg 21, 3070 DZ, Rotterdam, The Netherlands.
Nadine M TeunissenDepartment of Hand and Wrist Surgery, Maasstad Hospital, Maasstadweg 21, 3070 DZ, Rotterdam, The Netherlands.
Frank J P BeeresDepartment of Orthopaedic and Trauma Surgery, Luzerner Kantonsspital, Spitalstrasse, 6004, Luzern, Switzerland.
Mark van HeijlDepartment of Trauma Surgery, Diakonessenhuis Utrecht, Bosboomstraat 1, 3582 KE, Utrecht, The Netherlands.
Niels W L SchepDepartment of Hand and Wrist Surgery, Maasstad Hospital, Maasstadweg 21, 3070 DZ, Rotterdam, The Netherlands.
Maasstad Ziekenhuis · NLDiakonessenhuis hospital · NLLuzerner Kantonsspital · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe purpose of this study was to determine the clinical outcome of patients treated with a functional Lucerne Cast (LuCa) for different types of hand fractures. Static casting has traditionally been the preferred treatment for hand fractures. However, functional casting may lead to good functional outcomes, less stiffness, and earlier return to work.

methodsA retrospective case series of all consecutive patients with a metacarpal or proximal phalangeal fracture treated with a LuCa between 2018 and 2019 was conducted. A total of 90 patients were included. Clinical data were collected directly from the patient's medical records. Functional outcome was assessed with the Michigan Hand Outcomes Questionnaire (MHQ).

resultsThe median MHQ score was 95 (IQR 83-100) with a median follow-up of 23 months. Complications occurred in 7 of 90 patients (8%). Functional impairment occurred in two (2%) patients. Functional impairment was defined as stiffness, persisting rotational deformity, a boutonnière or swanneck deformity. Persisting pain or CRPS occurred in six (7%) patients.

conclusionThe LuCa shows to be effective in the functional treatment of both metacarpal and proximal phalangeal fractures with excellent patient-reported outcomes but at a relatively high rate of persisting pain.

Indexed as

Finger PhalangesFractures, BoneHand InjuriesMetacarpal BonesHumansMedicago sativaPainRetrospective StudiesTreatment OutcomeFunctional castingHand therapyLucerne CastMetacarpal fracturesPhalangeal fractures

Identifiers

PMID36759403
OpenAlexW4319825850

What OpenQuestion holds

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Registered trials

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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.