Evaluation of Metacarpal Compression Test for Diagnosis of Metacarpal Fracture

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Karimi Naser Mohamad; Mohyeddini Mohsen; Zeinali Faeze; Nikouyeh Mehrnaz; Sobhan Mohamadreza; Jafari Mohamadali; Esmaili Alireza

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Journal: TRAUMA MONTHLY Year:2020 | Volume:25 | Issue:3 Page(s): 124-127

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Title

Evaluation of Metacarpal Compression Test for Diagnosis of Metacarpal Fracture

Author(s)

Keywords

Metacarpal Bone

Fracture

Compression Test

Clinical Decision Rule

Axial Load

Abstract

Background: There are many methods for evaluating a traumatized metacarp. Objectives: This study sought to evaluate the accuracy of the metacarpal Compression Test for the diagnosis of metacarpal Fracture. Methods: All patients with metacarpal trauma were tested via placement of Axial Load (compression) on the metacarpal; induction or exacerbation of pain on each metacarp was recorded upon applying axial pressure. Then, an X-Ray imaging system was used to identify and record the presence of Fracture. All data were entered into a 2x2 table, and then negative predictive value (NPV), positive predictive value (PPV), sensitivity and specificity of the test were calculated. Results: After careful physical examination and application of the axial pressure on the Metacarpal Bone, 16(23. 68%) patients did not experience any pain during Axial Loading (none had Fracture). According to the statistical analyses of the data, the proposed method had a 69% specificity, 100% sensitivity, 86% PPV and 100% NPV. Conclusion: Our findings showed that Axial Loading applied on the Metacarpal Bone, when it leads to pain, is a good marker for Fracture. On the other hand, patients with negative test results had no Fracture on radiography, which emphasized 100% NPV of the test.

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APA: Copy

Karimi, Naser Mohamad, Mohyeddini, Mohsen, Zeinali, Faeze, Nikouyeh, Mehrnaz, Sobhan, Mohamadreza, Jafari, Mohamadali, & Esmaili, Alireza. (2020). Evaluation of Metacarpal Compression Test for Diagnosis of Metacarpal Fracture. TRAUMA MONTHLY, 25(3), 124-127. SID. https://sid.ir/paper/761485/en

Vancouver: Copy

Karimi Naser Mohamad, Mohyeddini Mohsen, Zeinali Faeze, Nikouyeh Mehrnaz, Sobhan Mohamadreza, Jafari Mohamadali, Esmaili Alireza. Evaluation of Metacarpal Compression Test for Diagnosis of Metacarpal Fracture. TRAUMA MONTHLY[Internet]. 2020;25(3):124-127. Available from: https://sid.ir/paper/761485/en

IEEE: Copy

Naser Mohamad Karimi, Mohsen Mohyeddini, Faeze Zeinali, Mehrnaz Nikouyeh, Mohamadreza Sobhan, Mohamadali Jafari, and Alireza Esmaili, “Evaluation of Metacarpal Compression Test for Diagnosis of Metacarpal Fracture,” TRAUMA MONTHLY, vol. 25, no. 3, pp. 124–127, 2020, [Online]. Available: https://sid.ir/paper/761485/en

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