{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T22:11:11Z","timestamp":1782771071622,"version":"3.54.5"},"reference-count":62,"publisher":"Deutscher Arzte-Verlag GmbH","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"DOI":"10.3238\/arztebl.m2023.0226","type":"journal-article","created":{"date-parts":[[2023,12,6]],"date-time":"2023-12-06T11:47:53Z","timestamp":1701863273000},"source":"Crossref","is-referenced-by-count":16,"title":["The treatment of closed finger and metacarpal fractures"],"prefix":"10.3238","author":[{"given":"Adrian Cavalcanti","family":"Ku\u00dfmaul","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Titus","family":"Kuehlein","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin F.","family":"Langer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali","family":"Ayache","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frank","family":"Unglaub","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"11437","published-online":{"date-parts":[[2023,12,15]]},"reference":[{"key":"10.3238\/arztebl.m2023.0226_ref1","doi-asserted-by":"crossref","unstructured":"Haughton DN, Jordan D, Malahias M, Hindocha S, Khan W: Principles of hand fracture management. Open Orthop J 2012; 6: 43\u201353","DOI":"10.2174\/1874325001206010043"},{"key":"10.3238\/arztebl.m2023.0226_ref2","doi-asserted-by":"crossref","unstructured":"L\u00f6w S, Papay M, Spies CK, Unglaub F, Eingartner C: The requirement for closed reduction of dorsally displaced unstable distal radius fractures before operative treatment. Dtsch Arztebl Int 2020; 117: 783\u20139","DOI":"10.3238\/arztebl.2020.0783"},{"key":"10.3238\/arztebl.m2023.0226_ref3","doi-asserted-by":"crossref","unstructured":"Zeckey C, Sp\u00e4th A, Kieslich S, et al.: Early mobilization versus splinting after surgical management of distal radius fractures. Dtsch Arztebl Int 2020; 117: 445\u201351.","DOI":"10.3238\/arztebl.2020.0445"},{"key":"10.3238\/arztebl.m2023.0226_ref4","doi-asserted-by":"crossref","unstructured":"Bartl C, Stengel D, Bruckner T, Gebhard F: The treatment of displaced intra-articular distal radius fractures in elderly patients. Dtsch Arztebl Int 2014; 111: 779\u201387","DOI":"10.3238\/arztebl.2014.0779"},{"key":"10.3238\/arztebl.m2023.0226_ref5","unstructured":"Statistisches Bundesamt Deutschland (Destatis): Aus dem Krankenhaus entlassene station\u00e4re Patienten im Jahr 2021 mit Hauptdiagnosen S62.2\u2013 S62.7. 2021. www.destatis.de\/DE\/Themen\/Gesellschaft-Umwelt\/Gesundheit\/Krankenhaeuser\/Publikationen\/Downloads-Krankenhaeuser\/tiefgegliederte-diagnosedaten-5231301197015.x (last accessed on.30 October 2023)."},{"key":"10.3238\/arztebl.m2023.0226_ref6","unstructured":"Rupp M, Walter N, Pfeifer C, et al.: The incidence of fractures among the adult population of Germany\u2014an analysis from 2009 through 2019. Dtsch Arztebl Int 2021;1 18: 665\u20139"},{"key":"10.3238\/arztebl.m2023.0226_ref7","doi-asserted-by":"crossref","unstructured":"Handoll HHG, Elliott J.: Rehabilitation for distal radial fractures in adults. Cochrane database Syst Rev 2015; 2015: CD003324","DOI":"10.1002\/14651858.CD003324.pub3"},{"key":"10.3238\/arztebl.m2023.0226_ref8","doi-asserted-by":"crossref","unstructured":"Bergh C, Wennergren D, M\u00f6ller M, Brisby H: Fracture incidence in adults in relation to age and gender: a study of 27,169 fractures in the Swedish Fracture Register in a well-defined catchment area. PLoS One 2021; 15: 1\u201318","DOI":"10.1371\/journal.pone.0244291"},{"key":"10.3238\/arztebl.m2023.0226_ref9","unstructured":"Gigantesco A, Giuliani M: Quality of life in mental health services with a focus on psychiatric rehabilitation practice. Ann Ist Super Sanit\u00e0 2011; 47: 363\u201372."},{"key":"10.3238\/arztebl.m2023.0226_ref10","doi-asserted-by":"crossref","unstructured":"Dominguez-Prado DM, Ferradas-Garcia L, Perez-Alfonso E, Balvis-Balvis P, Lopez-Lopez JA, Castro-Menendez M: Epidemiology of bone fractures in the hand in adult population using the ICD-10 Classification. Acta Chir Orthop Traumatol Cech 2022; 89: 252\u20139","DOI":"10.55095\/achot2022\/041"},{"key":"10.3238\/arztebl.m2023.0226_ref11","doi-asserted-by":"crossref","unstructured":"Beerekamp MSH, de Muinck Keizer RJO, Schep NWL, Ubbink DT, Panneman MJM, Goslings JC: Epidemiology of extremity fractures in the Netherlands. Injury 2017; 48:1355\u201362","DOI":"10.1016\/j.injury.2017.04.047"},{"key":"10.3238\/arztebl.m2023.0226_ref12","doi-asserted-by":"crossref","unstructured":"Gordon AM, Malik AT, Goyal KS: Trends of hand injuries presenting to US emergency departments: a 10-year national analysis. Am J Emerg Med 2021; 50: 466\u201371","DOI":"10.1016\/j.ajem.2021.08.059"},{"key":"10.3238\/arztebl.m2023.0226_ref13","doi-asserted-by":"crossref","unstructured":"Wenzinger E, Rivera-Barrios A, Gonzalez G, Herrera F: Trends in upper extremity injuries presenting to US emergency departments. Hand 2019; 14: 408\u201312","DOI":"10.1177\/1558944717735943"},{"key":"10.3238\/arztebl.m2023.0226_ref14","doi-asserted-by":"crossref","unstructured":"De Francesco F, Gravina P, Varagona S, Setti S, Gigante A, Riccio M: Biophysical stimulation in delayed fracture healing of hand phalanx: a radiographic evaluation. Biomedicines 2022; 10: 2519","DOI":"10.3390\/biomedicines10102519"},{"key":"10.3238\/arztebl.m2023.0226_ref15","doi-asserted-by":"crossref","unstructured":"Popova D, Welman T, Vamadeva S V, Pahal GS: Management of hand fractures. Br J Hosp Med (Lond) 2020; 81: 1\u201311","DOI":"10.12968\/hmed.2020.0140"},{"key":"10.3238\/arztebl.m2023.0226_ref16","doi-asserted-by":"crossref","unstructured":"Fr\u00f6ber Jens RG: Anatomische Landmarken operativer Zugangswege an der Hand. OP-Journal 2001; 17: 222\u20137","DOI":"10.1055\/s-2007-977557"},{"key":"10.3238\/arztebl.m2023.0226_ref17","unstructured":"Christodoulou N, Asimakopoulos D, Kapetanos K, Seah M, Khan W: Principles of management of hand fractures. J Perioper Pract 2022; 19: 17504589221119740."},{"key":"10.3238\/arztebl.m2023.0226_ref18","doi-asserted-by":"crossref","unstructured":"Vargas A, Chiapas-Gasca K, Hern\u00e1ndez-D\u00edaz C, et al.: Clinical anatomy of the hand. Reumatol Clin 2012; 8 Suppl 2: 25\u201332","DOI":"10.1016\/j.reuma.2012.10.004"},{"key":"10.3238\/arztebl.m2023.0226_ref19","unstructured":"Langer MF, Warwick D, Unglaub F, Gr\u00fcnert J: The anatomy and functional importance of finger joints: a short atlas. In: Arthroplasty in hand surgery: FESSH Instructional Course Book 2020. Stuttgart: Georg Thieme Verlag KG 2021; 3\u201320."},{"key":"10.3238\/arztebl.m2023.0226_ref20","doi-asserted-by":"crossref","unstructured":"Taghinia AH, Talbot SG: Phalangeal and metacarpal fractures. Clin Plast Surg 2019; 46: 415\u201323","DOI":"10.1016\/j.cps.2019.02.011"},{"key":"10.3238\/arztebl.m2023.0226_ref21","doi-asserted-by":"crossref","unstructured":"Carre\u00f1o A, Ansari MT, Malhotra R: Management of metacarpal fractures. J Clin Orthop trauma 2020;11: 554\u201361","DOI":"10.1016\/j.jcot.2020.05.043"},{"key":"10.3238\/arztebl.m2023.0226_ref22","unstructured":"McDaniel DJ, Rehman UH. Phalanx Fractures of the Hand. 2023 Aug 8. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan\u2013. PMID: 32491557."},{"key":"10.3238\/arztebl.m2023.0226_ref23","doi-asserted-by":"crossref","unstructured":"Melamed E, Joo L, Lin E, Perretta D, Capo JT: Plate fixation versus percutaneous pinning for unstable metacarpal fractures: a meta-analysis. J Hand Surg Asian Pac Vol. 2017; 22: 29\u201334","DOI":"10.1142\/S0218810417500058"},{"key":"10.3238\/arztebl.m2023.0226_ref24","doi-asserted-by":"crossref","unstructured":"Peyronson F, Ostwald CS, Hailer NP, Giddins G, Vedung T, Muder D: Nonoperative versus operative treatment for displaced finger metacarpal shaft fractures: a prospective, noninferiority, randomized controlled trial. J Bone Joint Surg Am 2023; 105: 98\u2013106","DOI":"10.2106\/JBJS.22.00573"},{"key":"10.3238\/arztebl.m2023.0226_ref25","doi-asserted-by":"crossref","unstructured":"Zong SL, Zhao G, Su LX, et al.: Treatments for the fifth metacarpal neck fractures: a network meta-analysis of randomized controlled trials. Medicine (Baltimore) 2016; 95: e3059","DOI":"10.1097\/MD.0000000000003059"},{"key":"10.3238\/arztebl.m2023.0226_ref26","doi-asserted-by":"crossref","unstructured":"Pellatt R, Fomin I, Pienaar C, et al.: Is buddy taping as effective as plaster immobilization for adults with an uncomplicated neck of fifth metacarpal fracture? A randomized controlled trial. Ann Emerg Med 2019; 74: 88\u201397","DOI":"10.1016\/j.annemergmed.2019.01.032"},{"key":"10.3238\/arztebl.m2023.0226_ref27","doi-asserted-by":"crossref","unstructured":"El-Saeed M, Sallam A, Radwan M, Metwally A: Kirschner wires versus titanium plates and screws in management of unstable phalangeal fractures: a randomized, controlled clinical trial. J Hand Surg Am 2019; 44: 1091. e1\u20131091. e9","DOI":"10.1016\/j.jhsa.2019.01.015"},{"key":"10.3238\/arztebl.m2023.0226_ref28","doi-asserted-by":"crossref","unstructured":"Boeckstyns MEH. Current methods, outcomes and challenges for the treatment of hand fractures. J Hand Surg Eur Vol 2020;45:547\u201359","DOI":"10.1177\/1753193420928820"},{"key":"10.3238\/arztebl.m2023.0226_ref29","doi-asserted-by":"crossref","unstructured":"Boeckstyns MEH: The conservative treatment of some hand and carpal fractures. Hand Clin 2022; 38: 289\u201398","DOI":"10.1016\/j.hcl.2022.02.001"},{"key":"10.3238\/arztebl.m2023.0226_ref30","doi-asserted-by":"crossref","unstructured":"Unglaub F, Langer MF, L\u00f6w S, Hohendorff B, Spies CK: [Open reduction and plate\/screw osteosynthesis of proximal phalanx fractures]. Oper Orthop Traumatol 2019; 31: 408\u201321","DOI":"10.1007\/s00064-019-0598-4"},{"key":"10.3238\/arztebl.m2023.0226_ref31","doi-asserted-by":"crossref","unstructured":"Freeland AE, Orbay JL: Extraarticular hand fractures in adults: a review of new developments. Clin Orthop Relat Res 2006; 445: 133\u201345","DOI":"10.1097\/01.blo.0000205888.04200.c5"},{"key":"10.3238\/arztebl.m2023.0226_ref32","doi-asserted-by":"crossref","unstructured":"Kollitz KM, Hammert WC, Vedder NB, Huang JI: Metacarpal fractures: treatment and complications. Hand (N Y): 2014; 9: 16\u201323","DOI":"10.1007\/s11552-013-9562-1"},{"key":"10.3238\/arztebl.m2023.0226_ref33","doi-asserted-by":"crossref","unstructured":"Mehling IM, Schillo K, Arsalan-Werner A, Seegm\u00fcller J, Langheinrich AC, Sauerbier M: [Fractures of the thumb ray]. Unfallchirurg 2016; 119: 978\u201385","DOI":"10.1007\/s00113-016-0233-x"},{"key":"10.3238\/arztebl.m2023.0226_ref34","doi-asserted-by":"crossref","unstructured":"Jones NF, Jupiter JB, Lalonde DH: Common fractures and dislocations of the hand. Plast Reconstr Surg 2012; 130: 722e-36e","DOI":"10.1097\/PRS.0b013e318267d67a"},{"key":"10.3238\/arztebl.m2023.0226_ref35","doi-asserted-by":"crossref","unstructured":"Song W, Zhou D, He Y: Biomechanical characteristics of fixation methods for floating pubic symphysis. J Orthop Surg Res 2017; 12: 38","DOI":"10.1186\/s13018-017-0541-z"},{"key":"10.3238\/arztebl.m2023.0226_ref36","doi-asserted-by":"crossref","unstructured":"Tezval M, Spering C: [Distal hand block]. Oper Orthop Traumatol 2020; 32: 23\u20138","DOI":"10.1007\/s00064-019-00639-6"},{"key":"10.3238\/arztebl.m2023.0226_ref37","doi-asserted-by":"crossref","unstructured":"Meals C, Meals R: Hand fractures: a review of current treatment strategies. J Hand Surg Am 2013; 38: 1021\u201331; quiz 1031","DOI":"10.1016\/j.jhsa.2013.02.017"},{"key":"10.3238\/arztebl.m2023.0226_ref38","unstructured":"Engel PSJ, Brogren E, Dahlin LB, S\u00f8e NH, Brorson S: [Phalangeal fractures of the hand]. Ugeskr Laeger 2018; 180: V12170901."},{"key":"10.3238\/arztebl.m2023.0226_ref39","doi-asserted-by":"crossref","unstructured":"Cheah AE-J, Yao J: Hand fractures: indications, the tried and true and new innovations. J Hand Surg Am 2016; 41: 712\u201322","DOI":"10.1016\/j.jhsa.2016.03.007"},{"key":"10.3238\/arztebl.m2023.0226_ref40","doi-asserted-by":"crossref","unstructured":"Hyatt BT, Rhee PC: Wide-awake surgical management of hand fractures: technical pearls and advanced rehabilitation. Plast Reconstr Surg 2019; 143: 800\u201310","DOI":"10.1097\/PRS.0000000000005379"},{"key":"10.3238\/arztebl.m2023.0226_ref41","doi-asserted-by":"crossref","unstructured":"Giddins G: The nonoperative management of hand fractures in United Kingdom. Hand Clin 2017; 33: 473\u201387.","DOI":"10.1016\/j.hcl.2017.04.006"},{"key":"10.3238\/arztebl.m2023.0226_ref42","doi-asserted-by":"crossref","unstructured":"Reformat DD, Nores GG, Lam G, et al.: Outcome analysis of metacarpal and phalangeal fixation techniques at Bellevue Hospital. Ann Plast Surg 2018; 81: 407\u201310.","DOI":"10.1097\/SAP.0000000000001581"},{"key":"10.3238\/arztebl.m2023.0226_ref43","doi-asserted-by":"crossref","unstructured":"Gajendran VK, Gajendran VK, Malone KJ: Management of complications with hand fractures. Hand Clin 2015; 31: 165\u201377.","DOI":"10.1016\/j.hcl.2014.12.001"},{"key":"10.3238\/arztebl.m2023.0226_ref44","doi-asserted-by":"crossref","unstructured":"Neumeister MW, Winters JN, Maduakolum E: Phalangeal and metacarpal fractures of the hand: preventing stiffness. Plast Reconstr Surg Glob Open 2021; 9: e3871.","DOI":"10.1097\/GOX.0000000000003871"},{"key":"10.3238\/arztebl.m2023.0226_ref45","doi-asserted-by":"crossref","unstructured":"Balaram AK, Bednar MS: Complications after the fractures of metacarpal and phalanges. Hand Clin 2010; 26: 169\u201377.","DOI":"10.1016\/j.hcl.2010.01.005"},{"key":"10.3238\/arztebl.m2023.0226_ref46","doi-asserted-by":"crossref","unstructured":"Melf-Marzi A, B\u00f6hringer B, Wiehle M, Hausteiner-Wiehle C: Modern principles of diagnosis and treatment in complex regional pain syndrome. Dtsch Arztebl Int 2022; 119: 879\u201386.","DOI":"10.3238\/arztebl.m2022.0358"},{"key":"10.3238\/arztebl.m2023.0226_ref47","doi-asserted-by":"crossref","unstructured":"de Putter CE, Selles RW, Polinder S, Panneman MJM, Hovius SER, van Beeck EF: Economic impact of hand and wrist injuries: health-care costs and productivity costs in a population-based study. J Bone Joint Surg Am 2012; 94: e56.","DOI":"10.2106\/JBJS.K.00561"},{"key":"10.3238\/arztebl.m2023.0226_ref48","doi-asserted-by":"crossref","unstructured":"Stern PJ, Kastrup JJ: Complications and prognosis of treatment of mallet finger. J Hand Surg Am 1988; 13: 329\u201334.","DOI":"10.1016\/S0363-5023(88)80002-9"},{"key":"10.3238\/arztebl.m2023.0226_ref49","doi-asserted-by":"crossref","unstructured":"Lamaris GA, Matthew MK: The diagnosis and management of mallet finger injuries. Hand (N Y) 2017; 12: 223\u20138.","DOI":"10.1177\/1558944716642763"},{"key":"10.3238\/arztebl.m2023.0226_ref50","doi-asserted-by":"crossref","unstructured":"L\u00f6gters TT, Lee HH, Gehrmann S, Windolf J, Kaufmann RA: Proximal phalanx fracture management. Hand (N Y) 2018; 13: 376\u201383.","DOI":"10.1177\/1558944717735947"},{"key":"10.3238\/arztebl.m2023.0226_ref51","doi-asserted-by":"crossref","unstructured":"Keller MM, Barnes R, Brandt C, Hepworth LM: Hand rehabilitation programmes for second to fifth metacarpal fractures: a systematic literature review. South African J Physiother 2021; 77: 1536.","DOI":"10.4102\/sajp.v77i1.1536"},{"key":"10.3238\/arztebl.m2023.0226_ref52","doi-asserted-by":"crossref","unstructured":"Schmidt H-M, Lanz U: 7.7 Architektur der Mittelhand [Internet]. 2., \u00fcberar. Chirurgische Anatomie der Hand. Stuttgart: Georg Thieme Verlag KG 2013. www.thieme-connect.de\/products\/ebooks\/lookinside\/10.1055\/b-0034-14106 (last accessed on 24 September 2023).","DOI":"10.1055\/b-0034-14106"},{"key":"10.3238\/arztebl.m2023.0226_ref53","doi-asserted-by":"crossref","unstructured":"Dial WB, Berg E: Bennett\u2019s fracture. Hand 1972; 4: 229\u201335.","DOI":"10.1016\/S0072-968X(72)80006-8"},{"key":"10.3238\/arztebl.m2023.0226_ref54","doi-asserted-by":"crossref","unstructured":"Hove LM: Fractures of the hand. Distribution and relative incidence. Scand J Plast Reconstr Surg hand Surg 1993; 27: 317\u20139.","DOI":"10.1080\/02844311.1993.12005647"},{"key":"10.3238\/arztebl.m2023.0226_ref55","doi-asserted-by":"crossref","unstructured":"Liverneaux PA, Ichihara S, Hendriks S, Facca S, Bodin F: Fractures and dislocation of the base of the thumb metacarpal. J Hand Surg Eur Vol 2015; 40: 42\u201350.","DOI":"10.1177\/1753193414554357"},{"key":"10.3238\/arztebl.m2023.0226_ref56","doi-asserted-by":"crossref","unstructured":"Thelen S, Windolf J: Finger- und Mittelhandfrakturen. Orthop\u00e4die und Unfallchirurgie up2date 2019; 14:. https:\/\/doi.org\/10.1055\/a-0609-9878 (last accessed on 24 September 2023).","DOI":"10.1055\/a-0609-9878"},{"key":"10.3238\/arztebl.m2023.0226_ref57","doi-asserted-by":"crossref","unstructured":"Zach A, Lautenbach M, Merk H, et al.: Frakturen der Phalangen. Handchirurgie Scan 2013; 02: 49\u201367. https:\/\/doi.org\/10.1055\/s-0032-1326002 (last accessed on 24 September 2023).","DOI":"10.1055\/s-0032-1326002"},{"key":"10.3238\/arztebl.m2023.0226_ref58","doi-asserted-by":"crossref","unstructured":"del Pi\u00f1al F, Moraleda E, R\u00faas JS, et al: Minimally invasive fixation of fractures of the phalanges and metacarpals with intramedullary cannulated headless compression screws. J Hand Surg Am 2015; 40: 692\u2013700.","DOI":"10.1016\/j.jhsa.2014.11.023"},{"key":"10.3238\/arztebl.m2023.0226_ref59","doi-asserted-by":"crossref","unstructured":"Franssen BBGM, van Diest PJ, Schuurman AH, Kon M: Drilling K-wires, what about the osteocytes? An experimental study in rabbits. Arch Orthop Trauma Surg 2008; 128: 83\u201387.","DOI":"10.1007\/s00402-007-0382-z"},{"key":"10.3238\/arztebl.m2023.0226_ref60","doi-asserted-by":"crossref","unstructured":"Matloub HS, Jensen PL, Sanger JR, et al.: Spiral fracture fixation techniques. A biomechanical study. J Hand Surg Br 1993; 18: 515\u20139.","DOI":"10.1016\/0266-7681(93)90162-9"},{"key":"10.3238\/arztebl.m2023.0226_ref61","doi-asserted-by":"crossref","unstructured":"Diaz-Garcia R, Waljee JF: Current management of metacarpal fractures. Hand Clin 2013; 29: 507\u201318.","DOI":"10.1016\/j.hcl.2013.09.004"},{"key":"10.3238\/arztebl.m2023.0226_ref62","doi-asserted-by":"crossref","unstructured":"Carre\u00f1o A, Ansari MT, Malhotra R: Management of metacarpal fractures. J Clin Orthop trauma 2020; 11: 554\u201361.","DOI":"10.1016\/j.jcot.2020.05.043"}],"container-title":["Deutsches \u00c4rzteblatt international"],"original-title":[],"link":[{"URL":"https:\/\/www.aerzteblatt.de\/10.3238\/arztebl.m2023.0226","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,6]],"date-time":"2023-12-06T11:49:57Z","timestamp":1701863397000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.aerzteblatt.de\/10.3238\/arztebl.m2023.0226"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12,15]]},"references-count":62,"URL":"https:\/\/doi.org\/10.3238\/arztebl.m2023.0226","relation":{},"ISSN":["1866-0452"],"issn-type":[{"value":"1866-0452","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,12,15]]}}}