A meta-analysis of injury to collateral ligaments of metacarpo-phalangeal joints other than the thumb: incidence, management and outcome

S. Hayek, A. E. Khatib, A. Ibrahim, T. Kabakian-Khasholian
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Abstract

Background: The incidence for the injury to the collateral ligament of the metacarpophalangeal joint (MCPJ) of fingers other than the thumb is unknown. Methods: We carried out a systematic review of the literature using several search engines and several MeSH terms. A meta-analysis of the incidence, mechanism of injury, diagnosis, management, and outcome was performed. Results: A total of 164 injuries were reported. A lot of the data was missing. The mean age was 43.32 years with no gender differences. The majority of the injuries were for the right hand, little finger and index finger. In 31.1% of the collateral ligament injuries cited in the literature, the radial collateral ligament (RCL) was the injured site. Surgical intervention was the main reported type of management and 30% of those who underwent conservative management required a surgical intervention. Conclusion: This is the first meta-analysis of all the case reports and case series in the literature. It highlights the importance of early diagnosis and treatment and calls for standardizing the reporting of these injuries to avoid data gaps in future reviews.
除拇指外掌指关节副韧带损伤的meta分析:发生率、处理和结果
背景:除拇指外其他手指掌指关节副韧带损伤的发生率尚不清楚。方法:我们使用几个搜索引擎和几个MeSH术语进行了系统的文献综述。对发生率、损伤机制、诊断、处理和结果进行荟萃分析。结果:共报告损伤164例。很多数据都丢失了。平均年龄43.32岁,无性别差异。损伤以右手、小指和食指为主。在文献中引用的31.1%的副韧带损伤中,桡侧副韧带(RCL)是损伤部位。手术干预是报道的主要治疗类型,30%的保守治疗需要手术干预。结论:这是文献中所有病例报告和病例系列的第一个荟萃分析。它强调了早期诊断和治疗的重要性,并呼吁对这些伤害的报告进行标准化,以避免在未来的审查中出现数据空白。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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