Evidence map›Paper›PMID 39677103›Full record

ArticleCureus2024

Utility of Orthosis in the Conservative Treatment of Proximal Phalanx Fractures: A Preliminary Study in Healthy Participants.

Risako Nakanishi, Shuichi Sasaki, Naoto Kamide, Sohei Takamori, Yoshito Nakajima, Satomi Matsumoto, Kenji Onuma, Koji Sukegawa, Yuya Otake, Naonobu Takahira

Abstract read
In one paragraph

Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Risako NakanishiDepartment of Rehabilitation, Yokohama Minami Kyosai Hospital, Yokohama, JPN.
Shuichi SasakiDivision of Rehabilitation, Kitasato University Hospital, Sagamihara, JPN.
Naoto KamideSchool of Allied Health Sciences, Kitasato University, Sagamihara, JPN.
Sohei TakamoriSports Medicine Center, Shonan Kamakura General Hospital, Kamakura, JPN.
Yoshito NakajimaDepartment of Radiology, Yokohama Minami Kyosai Hospital, Yokohama, JPN.
Satomi MatsumotoClinical Research Center, Yokohama Minami Kyosai Hospital, Yokohama, JPN.
Kenji OnumaDepartment of Orthopedic Surgery, Kitasato University School of Medicine, Sagamihara, JPN.
Koji SukegawaDepartment of Orthopedic Surgery, Kitasato University School of Medicine, Sagamihara, JPN.
Yuya OtakeDepartment of Orthopedic Surgery, Kitasato University School of Medicine, Sagamihara, JPN.
Naonobu TakahiraGraduate School of Medical, Kitasato University, Sagamihara, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe standard treatment for the conservative management of a proximal phalanx fracture of the little finger involves immobilizing the fracture site with a cast. However, cast immobilization presents challenges in maintaining hygiene during treatment and restricts the fine motor movements of the fingers. In this study, we developed a removable orthosis that immobilizes only the ring and little fingers. We examined the splint's effectiveness in joint immobilization and its impact on fine motor movements of the fingers.

methodTwenty healthy adults were included in this study conducted at the Yokohama Minami Kyosai Hospital, Yokohama, Japan. While wearing a cast and an orthosis, the range of motion of the metacarpophalangeal (MP) joints of the index and little fingers was measured using X-ray fluoroscopy. The Purdue Pegboard Test evaluated fine motor skills, handwriting tasks, and chopstick use tests. We statistically compared the range of motion and fine motor skills of the MP joints in the cast and orthosis.

resultsThe range of motion of the MP joint in the index finger was significantly greater with the orthosis than with the cast (p < 0.001). In contrast, in the little finger, the cast allowed a greater range of motion than the orthosis (p < 0.077). Additionally, regarding fine motor skills, in the chopstick task, the orthosis showed significantly better performance than the cast.

conclusionThe developed orthosis, which immobilized only the ring and little fingers, provided sufficient stability to the little finger while maintaining the index finger's mobility. Additionally, it imposed minimal restrictions on fine motor movements and the use of chopsticks.

Indexed as

cast immobilizationconservative treatmentfine motor movementsorthosisproximal phalanx fractures

Identifiers

PMID39677103
PMCPMC11645856

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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.