ReviewDeutsches Arzteblatt international2023
The Treatment of Closed Finger and Metacarpal Fractures.
Review in Deutsches Arzteblatt international, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.
- Kirners deformity - a systematic review and surgery recommendations.Archives of orthopaedic and trauma surgery · 2025Pooled it
- Percutaneous transverse pinning for metacarpal fractures: a clinical trial.Archives of orthopaedic and trauma surgery · 2024Trial
- [Early- and mid-term effectiveness of bilateral bracing using percutaneous pinning supported by adjacent metacarpal bones and a cemented external frame for treatment of metacarpal shaft fractures].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026Article
- [Finger joint arthrodesis with the cup and cone technique : A simple and safe procedure].Unfallchirurgie (Heidelberg, Germany) · 2026Article
- Intramedullary headless compression screw fixation for metacarpal fractures: a retrospective clinical and radiological study.Archives of orthopaedic and trauma surgery · 2026Article
- What is the burden of fractures for a nation? An analysis of statutory health insurance cases in Germany.BMJ public health · 2026Article
- Transverse inter-metacarpal K-wire with Nice-knot augmentation versus mini-plate fixation for second-fifth metacarpal shaft fractures: a single-center retrospective cohort study.Archives of orthopaedic and trauma surgery · 2025Article
- Long-term outcome of dorsal digital defect reconstruction using reverse-cross-finger flaps.Archives of orthopaedic and trauma surgery · 2025Article
- Risk factors for non-union after distal phalangeal fractures of the hand: a nationwide study in the US.Archives of orthopaedic and trauma surgery · 2025Article
- [Bony and ligamentous injuries of the thumb ray].Unfallchirurgie (Heidelberg, Germany) · 2025Article
- 3D-printed prosthesis for traumatic trapezium bone defect: a case report.Archives of orthopaedic and trauma surgery · 2025Article
- An exploration into the principles and theoretical progress of fracture treatment based on the mechanism of fracture healing.Biomaterials translational · 2025Review
- Simultaneous minimally invasive surgery improves outcomes and reduces complications in elderly with combined osteoporotic fractures.American journal of translational research · 2025Article
- The vascular anatomy and harvesting of the medial femoral condyle flap in pigs.Archives of orthopaedic and trauma surgery · 2024Article
- Equestrian-associated injuries of the hand: a retrospective analysis of injury mechanisms and patterns.Archives of orthopaedic and trauma surgery · 2024Article
- The Conservative and Operative Treatment of Carpal Fractures.Deutsches Arzteblatt international · 2024Review
- Diagnostic power of ChatGPT 4 in distal radius fracture detection through wrist radiographs.Archives of orthopaedic and trauma surgery · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFractures of the fingers and metacarpal bones are the most common fracture type in the upper limb, with an incidence of 114 to 1483 per 100 000 persons per year. The clinical importance of closed finger and metacarpal fractures is often underestimated; inadequate diagnostic and therapeutic measures may result in serious harm. This review concerns the basic elements of the diagnosis and treatment of finger and metacarpal fractures.
methodsThis review of the incidence, diagnosis and treatment of finger and metacarpal fractures is based on pertinent publications retrieved by a selective search of the literature.
resultsThe main focus of treatment lies on restoration of hand function in consideration of the requirements of the individual patient. The currently available evidence provides little guidance to optimal treatment (level II evidence). Although most closed fractures can be managed conservatively, individualized surgical treatment is advisable in comminuted fractures and fractures with a relevant degree of torsional malposition, axis deviation, or shortening, as well as in intra-articular fractures. Minimally invasive techniques are, in principle, to be performed wherever possible, yet open surgery is sometimes needed because of fracture morphology. Postsurgical complication rates are in the range of 32-36%, with joint fusion accounting for 67-76% of the complications. 15% involve delayed fracture healing and pseudarthrosis.
conclusionIndividualized treatment for finger and metacarpal fractures can improve patients' outcomes, with major socioeconomic and societal benefits. Further high-quality studies evaluating the relative merits of the available treatments are needed as a guide to optimized therapy.
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