ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2026
Comparison of two immobilization techniques for radiological outcomes in fifth metacarpal neck fractures: a prospective controlled study.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeAlthough fifth metacarpal neck fractures are commonly managed conservatively, there is no consensus regarding the optimal immobilization strategy. The aim of this study was to compare the radiographic outcomes of the Jahss Position Splint (JPS) and the conventional Ulnar Gutter Splint (UGS) in the treatment of fifth metacarpal neck fractures.
methodsA total of 78 adult male patients treated for isolated closed fifth metacarpal neck fractures between January 2023 and June 2024 were prospectively evaluated. Patients were allocated to either the JPS group (n = 42) or the UGS group (n = 36). Patients were assigned to JPS or UGS according to the predefined odd/even-calendar-day duty schedule of two surgeons, each of whom routinely applied one of the techniques. All patients underwent closed reduction using the Jahss maneuver followed by three weeks of immobilization. Radiographic outcomes included initial fracture angulation (IFA), post-reduction angulation (PRA), final follow-up angulation at 12 weeks (FFA), metacarpal shortening, and malunion rates.
resultsNo significant differences were observed between the groups regarding age or IFA (p > 0.05). Correction during reduction and splint application was greater with JPS than with UGS (15.2 ± 9.6° vs. 8.9 ± 11.0°; p = 0.009), whereas subsequent loss of reduction during immobilisation did not differ significantly between the groups (2.8 ± 8.4° vs. 1.0 ± 9.8°; p = 0.388).The JPS group demonstrated significantly lower PRA (p < 0.001) and FFA (p = 0.003) compared with the UGS group. Metacarpal shortening was significantly less in the JPS group (p = 0.036). The malunion rate was 5% in the JPS group and 28% in the UGS group (p = 0.009).
conclusionJPS was associated with greater immediate angular correction and more favourable final radiographic outcomes than UGS but did not reduce subsequent loss of reduction during immobilisation. Because functional and patient-reported outcomes were not assessed, the clinical relevance of these radiographic differences remains uncertain.
Indexed as
Identifiers
42873291What OpenQuestion holds
Registered trials
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.