6. Results (continued).
Study ID | Intervention | ROM in MCP joint | Grip strength | Skin damage | Return to work |
Anand 1999 | Cast | Extensor lag at 3 months: 5 degrees in 2 participants | At 6 weeks: 69% of normal (17 participants) At 3 months: 99% of normal (13 participants) |
nd | Return to pre‐injury status at 3 months: 100% (21 participants) |
Compression bandage | Extensor lag at 3 months: 5 degrees in 2 participants | At 6 weeks: 91% of normal (24 participants) At 3 months: 98% of normal (22 participants) |
nd | Return to pre‐injury status at 3 months: 100% (28 participants) | |
Braakman 1998b | Cast | At 1 week: extension deficit 19 participants, flexion deficit 11 participants At 4 weeks: extension deficit 11 participants, flexion deficit 4 participants At 3 months: extension deficit 6 participants, flexion deficit 2 participants At 6 months: flexion deficit 1 participant |
The 50% recovery limit of power‐grip and pulling strength was reached within four weeks in 52% of the participants. | nd | nd |
Tape | At 1 week: extension deficit 8 participants, flexion deficit 2 participants No extension or flexion deficit at 4 weeks, 3 and 6 months |
Restoration of pulling strength was significantly better in the tape group after one and four weeks (P<0.001). The 50% recovery limit of power‐grip and pulling strength was reached within four weeks in all participants. | nd | nd | |
Harding 2001 | Metacarpal brace | Mean (range) ROM of MCPJ: active 78 (40‐130), passive 107 (70‐150) | nd | One participant | Return to work by 3 weeks: 92% (34 of 37 participants) |
Neighbour strapping | Mean (range) ROM of MCPJ: active 65 (20‐90), passive 97 (40‐130) | nd | None | Return to work by 3 weeks: 29% (8 of 28 participants) | |
Kuokkanen 1999 | Cast | ROM in degrees (range): At 4 weeks: 57 (10‐100). At 3 months: 90 (80‐95) |
Kg, fractured hand/healthy hand: At 4 weeks: 21 (10‐50)/34 (18‐54)Kg. At 3 months: 36 (26‐54)/41 (22‐59) Kg. |
None | nd |
Compression bandage | ROM in degrees (range): At 4 weeks: 81 (45‐90) At 3 months: 90 (80‐95) |
Kg, fractured hand/healthy hand: At 4 weeks: 37 (20‐54)/44 (25‐72) Kg. At 3 months: 49 (30‐69)/51 (30‐74) Kg. |
None | nd | |
Statius Muller 2003 | Cast | Full ROM at 6 weeks: 67% Full ROM at 12 weeks: 93% |
nd | nd | Return to work or hobby at 6 weeks: 2 participants Return to work or hobby at 12 weeks: all participants |
Compression bandage | Full ROM at 6 weeks: 70% Full ROM 12 weeks: 95% |
nd | nd | Return to work or hobby at 6 weeks: 2 participants Return to work or hobby at 12 weeks: all participants |
MCPJ: metacarpo‐phalangeal joint nd: not described ROM: range of motion or movement