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      A Systematic Review of Treatment Interventions for Metacarpal Shaft Fractures in Adults.

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          Abstract

          Metacarpal shaft fractures are common hand injuries that predominantly affect younger patients. There is wide variability in their treatment with no consensus on best practice. We performed a systematic review to assess the breadth and quality of available evidence supporting different treatment modalities for metacarpal shaft fractures of the finger digits in adults. A comprehensive search was conducted across multiple databases, in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. A total of 1600 records were identified; 7 studies fulfilled eligibility criteria and were included. No randomized controlled trials directly comparing surgery with nonsurgical treatment were found. One retrospective study compared nonsurgical with surgical treatment, whereas 6 compared surgical or nonsurgical treatments. Considerable heterogeneity between studies along with a high or critical risk of bias restricts direct comparison and conclusions. There is a lack of high-quality evidence to guide treatment, supporting the need for well-designed, multicenter trials to identify the most effective and cost-efficient treatment for metacarpal shaft fractures in adults.

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          Author and article information

          Journal
          Hand (N Y)
          Hand (New York, N.Y.)
          SAGE Publications
          1558-9455
          1558-9447
          Nov 30 2020
          Affiliations
          [1 ] University of Nottingham, UK.
          [2 ] Nottingham University Hospitals NHS Trust, UK.
          Article
          10.1177/1558944720974363
          33252278
          2ab72ebc-06fb-4836-bb1a-7eec5decf7a2
          History

          diagnosis,evaluation,finger,fracture/dislocation,research and health outcomes,trauma,treatment

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