{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T00:02:49Z","timestamp":1777852969060,"version":"3.51.4"},"reference-count":16,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2021,6,24]],"date-time":"2021-06-24T00:00:00Z","timestamp":1624492800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Hand Surg Eur Vol"],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:p>We report on our experience of using a short, moulded metacarpal cast over a 4-year period in the non-surgical management of metacarpal shaft fractures. Between 6 April 2015 and 6 April 2019, 117 patients were treated using this method. The majority were male, and the mean age was 24.6 years. The most common mechanism of injury was a punch injury (73 patients, 62%). Fifteen patients (13%) were treated for multiple metacarpal fractures. Immediately after cast removal, 68% had a full range of finger movement and 68% were pain free. Few required formal hand therapy. Fifteen patients experienced minor complications, primarily soft tissue irritation from the cast and non-limiting extensor lag. The moulded short metacarpal cast is an effective non-surgical treatment for angulated extra-articular metacarpal fractures of the diaphysis and diametaphyseal junction.<\/jats:p>\n                  <jats:p>Level of evidence: IV<\/jats:p>","DOI":"10.1177\/17531934211024579","type":"journal-article","created":{"date-parts":[[2021,6,25]],"date-time":"2021-06-25T02:11:47Z","timestamp":1624587107000},"page":"936-940","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["A 4-year study of the use of the short metacarpal cast in the management of metacarpal shaft fractures"],"prefix":"10.1177","volume":"46","author":[{"given":"Julia","family":"Street","sequence":"first","affiliation":[{"name":"Department of Trauma and Orthopaedics, University Hospital Wales, Cardiff, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luthfun","family":"Nessa","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopaedics, University Hospital Wales, Cardiff, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Logan","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopaedics, University Hospital Wales, Cardiff, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryan W","family":"Trickett","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopaedics, University Hospital Wales, Cardiff, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,6,24]]},"reference":[{"key":"bibr1-17531934211024579","doi-asserted-by":"publisher","DOI":"10.1177\/1753193408093559"},{"key":"bibr2-17531934211024579","doi-asserted-by":"publisher","DOI":"10.1177\/1753193410381823"},{"key":"bibr3-17531934211024579","doi-asserted-by":"publisher","DOI":"10.1016\/J.JHSB.2004.02.020"},{"key":"bibr4-17531934211024579","doi-asserted-by":"publisher","DOI":"10.1177\/1753193414548170"},{"key":"bibr5-17531934211024579","doi-asserted-by":"publisher","DOI":"10.1054\/jhsb.2000.0509"},{"key":"bibr6-17531934211024579","doi-asserted-by":"publisher","DOI":"10.1007\/s11552-008-9150-y"},{"key":"bibr7-17531934211024579","doi-asserted-by":"publisher","DOI":"10.2174\/1874325001206010043"},{"key":"bibr8-17531934211024579","doi-asserted-by":"publisher","DOI":"10.1177\/1753193414540408"},{"key":"bibr9-17531934211024579","doi-asserted-by":"publisher","DOI":"10.1007\/s11552-013-9562-1"},{"key":"bibr10-17531934211024579","doi-asserted-by":"publisher","DOI":"10.3109\/17453679008993576"},{"key":"bibr11-17531934211024579","doi-asserted-by":"publisher","DOI":"10.1308\/rcsann.2017.0195"},{"key":"bibr12-17531934211024579","doi-asserted-by":"publisher","DOI":"10.1177\/1753193410377845"},{"key":"bibr13-17531934211024579","doi-asserted-by":"publisher","DOI":"10.1177\/1753193416641590"},{"key":"bibr14-17531934211024579","first-page":"196","volume":"87","author":"Tavassoli J","year":"2005","journal-title":"J Bone Joint Surg Am"},{"key":"bibr15-17531934211024579","unstructured":"Tawa R. Fractures of adult metacarpal shafts (FACTS) study. 2020. https:\/\/www.nottingham.ac.uk\/research\/groups\/cebhs\/projects\/hand-wrist-fractures\/facts-study.aspx (accessed 13 May 2021)."},{"key":"bibr16-17531934211024579","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000003470"}],"container-title":["Journal of Hand Surgery (European Volume)"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17531934211024579","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/17531934211024579","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17531934211024579","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T22:46:03Z","timestamp":1777502763000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/17531934211024579"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6,24]]},"references-count":16,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2021,11]]}},"alternative-id":["10.1177\/17531934211024579"],"URL":"https:\/\/doi.org\/10.1177\/17531934211024579","relation":{},"ISSN":["1753-1934","2043-6289"],"issn-type":[{"value":"1753-1934","type":"print"},{"value":"2043-6289","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,6,24]]}}}