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Derotation taping for metacarpal and phalangeal fractures
Gregory I Bain1, Stephen D Guy
1Modbury Public Hospital; Royal Adelaide Hospital; University of Adelaide; South Australia, Australia University of Adelaide; South Australia, Australia. greg@gregbain.com.au
Techniques in Hand & Upper Extremity Surgery
|March 7, 2006
Summary
Derotation taping effectively manages acute metacarpal and phalangeal fractures with malrotation. For late malunions, K-wire osteoclasis provides a manipulative solution.
Area of Science:
- Orthopedic Surgery
- Hand Surgery
- Fracture Management
Background:
- Malrotation is a common complication in metacarpal and phalangeal fractures.
- Non-operative management is preferred when possible for these injuries.
Purpose of the Study:
- To describe the technique of derotation taping for acute fractures with malrotation.
- To outline the management of late rotatory malunions.
Main Methods:
- Acute fractures: Ulnar nerve or ring block, closed reduction (Jahss technique), rotatory manipulation, and application of plaster tape for supination torque.
- Late malunions: Percutaneous K-wire osteoclasis with manipulation.
Main Results:
- Derotation taping is a simple, noninvasive method for correcting acute rotational deformities.
- K-wire osteoclasis is an effective technique for correcting established rotatory malunions.
Conclusions:
- Derotation taping is a valuable technique for acute metacarpal and phalangeal fractures with malrotation.
- K-wire osteoclasis offers a solution for late-presenting rotatory malunions, avoiding more invasive procedures.
