Early Mobilization Exercise of Proximal Phalangeal and Metacarpal Fractures Utilizing Knuckle Casts

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  • 指基節骨,中手骨骨折に対するMP関節屈曲位での早期運動療法(ナックルキャスト)の治療経験
  • シキセツコツ,ナカテコツ コッセツ ニ タイスル MP カンセツ クッキョクイ デ ノ ソウキ ウンドウ リョウホウ(ナックルキャスト)ノ チリョウ ケイケン

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Hand fractures are common injuries. Early mobilization exercise in an intrinsic plus position (the knuckle cast) is said to be good treatment for proximal phalangeal and metacarpal fractures. We report early mobilization exercise of proximal phalangeal and metacarpal fractures by the knuckle cast. Ten patients with proximal phalangeal and metacarpal fractures are treated with the knuckle cast, including 8 males and 2 females with an average age of 36.7 years old ranging from 7 to 65 years old. There are 8 cases of the metacarpal fractures, 2 cases of the phalanx fractures. Bone union was seen in all cases. Rotational deformities do not occur in any cases, as a result a good range of motion is preserved in all cases. A grip strength decreases in four cases (77 % compared with the opposite side ). The knuckle cast is stable enough to permit an early wide range of motion and a functional rehabilitation. We consider that the knuckle cast is a reliable form of early mobilization exercise for treating proximal phalangeal and metacarpal fractures.

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