CONSERVATIVE MANAGEMENT OF SPIRAL/LONG OBLIQUE FRACTURES OF THE METACARPAL SHAFT OF THE FINGERS USING A PALMAR WRIST SPLINT AND IMMEDIATE MOBILISATION OF THE FINGERS.

Conservative treatment of spiral/long oblique fractures of the metacarpal shaft nearly always results in shortening, which is why these fractures are known for causing extension lag and decreased grip strength. In a prospective research, 56 patients with 62 fractures were given a palmar wrist splint and quick movement of all nger joints. All of the fractures united. Extension lag in fractured ngers was initially observed in all ngers, but it subsequently resolved. Grip strength gradually increased, reaching a mean of 94% of the contralateral hand by one year after injury