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Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
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Related Experiment Video

Updated: Oct 5, 2025

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
04:19

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Published on: November 8, 2024

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Prospective Multicenter Randomized Controlled Trial Comparing Early Protected Movement and Splinting for Fifth

Helene Retrouvey1, Josephine Jakubowski2, Mona Al-Taha2

  • 1Division of Plastic and Reconstructive Surgery, Toronto, Ontario, Canada.

Plastic Surgery (Oakville, Ont.)
|January 31, 2022
PubMed
Summary
This summary is machine-generated.

Early protected movement for Boxer's fractures improves grip strength compared to splinting. This approach leads to better functional outcomes by 8 weeks post-treatment.

Keywords:
Boxer’s factureclinical trialearly protected movementfifth metacarpal neck fracturepatient-reported outcomessplint

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Area of Science:

  • Orthopedic surgery
  • Hand surgery
  • Traumatology

Background:

  • Fifth metacarpal neck fractures, or Boxer's fractures, are common hand injuries.
  • Management strategies, especially non-operative, remain debated.
  • Early protected movement versus splint immobilization is a key area of discussion.

Purpose of the Study:

  • To compare functional and patient-reported outcomes (PROs) for Boxer's fractures.
  • To evaluate early protected movement versus splint immobilization.
  • To determine optimal conservative management for these fractures.

Main Methods:

  • A national multicenter prospective randomized controlled trial was conducted.
  • Participants were randomized to either elastic bandage with early protected movement or splint immobilization.
  • Grip strength and Brief Michigan Hand Questionnaire (bMHQ) scores were assessed at 4, 8, and 12 weeks.

Main Results:

  • No significant difference in bMHQ scores between groups at any time point.
  • Grip strength, standardized to Canadian reference values, was significantly higher in the elastic bandage group at 8 weeks (93% vs. 64%).
  • No baseline differences in grip strength or demographics were observed.

Conclusions:

  • Early protected movement in Boxer's fractures leads to superior functional outcomes by 8 weeks.
  • This approach shows better grip strength recovery compared to traditional splint immobilization.
  • Conservative management with early protected movement is recommended for Boxer's fractures.