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Review
. 2021 Feb 23;9(2):2325967120980013.
doi: 10.1177/2325967120980013. eCollection 2021 Feb.

Return to Sport After Metacarpal and Phalangeal Fractures: A Systematic Review and Evidence Appraisal

Luke Geoghegan  1 , Alexander Scarborough  2 , Jeremy N Rodrigues  3 , Mike J Hayton  4 , Maxim D Horwitz  5   6
Affiliations
Review

Return to Sport After Metacarpal and Phalangeal Fractures: A Systematic Review and Evidence Appraisal

Luke Geoghegan et al. Orthop J Sports Med. .

Abstract

Background: Fractures of the metacarpals and phalanges account for more than half of all upper extremity fractures sustained by competitive athletes.

Purpose: To determine which management strategy is best for expediting return to preinjury levels of competition in adult athletes with metacarpal and/or phalangeal fractures.

Study design: Systematic review; Level of evidence, 4.

Methods: A methodology compliant with PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) was used. A custom search strategy was designed and applied to MEDLINE and In-Process, Embase, EMCARE, and CINAHL.

Results: Overall, 3135 records were identified, of which 8 met full inclusion criteria. All patients returned to preinjury levels of competition, at a mean of 30.6 days for phalangeal fractures and 21.9 days for metacarpal fractures. Meta-analysis demonstrated delayed return-to-sport time for operatively managed metacarpal fractures as compared with nonoperatively managed ones (28.5 vs 22.0 days). All studies were of fair or poor quality, and none were randomized.

Conclusion: Optimal management strategies for athletes with metacarpal and phalangeal fractures remain equivocal. Injury, treatment, and sport-specific factors may confound results and preclude accurate estimation of optimal treatment strategies at present.

Keywords: athletic performance; fractures; hand; metacarpus; return to sport.

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Conflict of interest statement

The authors declared that there are no conflicts of interest in the authorship and publication of this contribution. AOSSM checks author disclosures against the Open Payments Database (OPD). AOSSM has not conducted an independent investigation on the OPD and disclaims any liability or responsibility relating thereto.

Figures

Figure 1.
Figure 1.
PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) flowchart of studies included in the review.
See this image and copyright information in PMC

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