Thanks Matt,
That's exactly what I was looking for in this thread,
NB: I do treat base fractures differently - nearly
always volar slab them.
The difference I keep coming up against (personally)
is the clinically obvious neck of 5th. fracture -
would the same maxim apply ?
Can indeed I be so discrimatory on clinical
examination and localise to the neck or base, or is it
like so many other such injuries: a distractor to the
really important base of metacarpal injuries.
I can't find anything paperwise to suggest yeh or neh
but ...could you point me to the right paper where
this is dealt with - I'm aware of the work you speak
of, although admittedly had forgottten the authors.
The reason for mentioning it at all is ..if clinically
you can diagnose an undisplaced 5th.MC neck ... why
waste valuable department time x-raying it, why not
proceed straight to treatment and FU.
That would only be if this was justifiable though.
You see my dilemma.
Iain
__________________________________________________
Do You Yahoo!?
Yahoo! Tax Center - online filing with TurboTax
http://taxes.yahoo.com/
|