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Derotation Taping for Metacarpal and Phalangeal Fractures

Bain, Gregory I. MBBS, FRACS, FAOrthA; Guy, Stephen D. MBBS

Techniques in Hand and Upper Extremity Surgery: September 2003 - Volume 7 - Issue 3 - p 130-132

Derotation taping for metacarpal and phalangeal fractures is a simple, noninvasive technique for management of acute fractures with malrotation. Ulnar nerve or ring block is performed followed by a closed reduction using a Jahss technique and then a rotatory manipulation. Plaster tape is applied, providing a supination torque on the finger. Those patients with a late presentation of a rotatory malunion are managed with a “K wire osteoclasis” which involves multiple percutaneous cortical K-wire perforations and then a manipulation.

Modbury Public Hospital; Royal Adelaide Hospital; University of Adelaide; South Australia, Australia

University of Adelaide; South Australia, Australia

Corresponding author: Gregory Bain, 196 Melbourne Street, North Adelaide, Australia. E-mail:

© 2003 Lippincott Williams & Wilkins, Inc.