{"id":"https://openalex.org/W7220869209","doi":"https://doi.org/10.13107/jocr.2026.v16.i10.8300","title":"Functional Outcome of Lucerne Cast in Patients with Metacarpal Fracture with or without Proximal Phalanx Fracture: An Observational Prospective Study","display_name":"Functional Outcome of Lucerne Cast in Patients with Metacarpal Fracture with or without Proximal Phalanx Fracture: An Observational Prospective Study","publication_year":2026,"publication_date":"2026-01-01","ids":{"openalex":"https://openalex.org/W7220869209","doi":"https://doi.org/10.13107/jocr.2026.v16.i10.8300","pmid":"https://pubmed.ncbi.nlm.nih.gov/42851812","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13646547"},"language":"en","primary_location":{"id":"doi:10.13107/jocr.2026.v16.i10.8300","doi":"https://doi.org/10.13107/jocr.2026.v16.i10.8300","is_oa":true,"landing_page_url":"https://doi.org/10.13107/jocr.2026.v16.i10.8300","pdf_url":null,"source":{"id":"https://openalex.org/S2764394085","display_name":"Journal of Orthopaedic Case Reports","issn_l":"2250-0685","issn":["2250-0685","2321-3817"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj"],"host_organization":"https://openalex.org/P4310318662","host_organization_name":"Indian Orthopaedic Research Group","host_organization_lineage":["https://openalex.org/P4310318662"],"host_organization_lineage_names":["Indian Orthopaedic Research Group"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Orthopaedic Case Reports","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.13107/jocr.2026.v16.i10.8300","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5157796109","display_name":"Prateek Sahu","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210144829","display_name":"People\u2019s University","ror":"https://ror.org/03e7xy909","country_code":"IN","type":"education","lineage":["https://openalex.org/I4210144829"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Prateek Sahu","raw_affiliation_strings":["Department of Orthopaedics, Peoples College of Medical Sciences and Research Centre, Bhopal, Madhya Pradesh, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedics, Peoples College of Medical Sciences and Research Centre, Bhopal, Madhya Pradesh, India","institution_ids":["https://openalex.org/I4210144829"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5020063631","display_name":"Manmohan Shakya","orcid":"https://orcid.org/0000-0002-5950-8939","observed_orcids":["https://orcid.org/0000-0002-5950-8939"]},"institutions":[{"id":"https://openalex.org/I4210144829","display_name":"People\u2019s University","ror":"https://ror.org/03e7xy909","country_code":"IN","type":"education","lineage":["https://openalex.org/I4210144829"]}],"countries":["IN"],"is_corresponding":true,"raw_author_name":"Manmohan Shakya","raw_affiliation_strings":["Department of Orthopaedics, Peoples College of Medical Sciences and Research Centre, Bhopal, Madhya Pradesh, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedics, Peoples College of Medical Sciences and Research Centre, Bhopal, Madhya Pradesh, India","institution_ids":["https://openalex.org/I4210144829"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5082332258","display_name":"Syed Tariq Mahmood","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210144829","display_name":"People\u2019s University","ror":"https://ror.org/03e7xy909","country_code":"IN","type":"education","lineage":["https://openalex.org/I4210144829"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Syed Tariq Mahamood","raw_affiliation_strings":["Department of Orthopaedics, Peoples College of Medical Sciences and Research Centre, Bhopal, Madhya Pradesh, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedics, Peoples College of Medical Sciences and Research Centre, Bhopal, Madhya Pradesh, India","institution_ids":["https://openalex.org/I4210144829"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5000617781","display_name":"Mohit Dashore","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210144829","display_name":"People\u2019s University","ror":"https://ror.org/03e7xy909","country_code":"IN","type":"education","lineage":["https://openalex.org/I4210144829"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Mohit Dashore","raw_affiliation_strings":["Department of Orthopaedics, Peoples College of Medical Sciences and Research Centre, Bhopal, Madhya Pradesh, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedics, Peoples College of Medical Sciences and Research Centre, Bhopal, Madhya Pradesh, India","institution_ids":["https://openalex.org/I4210144829"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5157824195","display_name":"Nilesh Gupta","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210144829","display_name":"People\u2019s University","ror":"https://ror.org/03e7xy909","country_code":"IN","type":"education","lineage":["https://openalex.org/I4210144829"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Nilesh Gupta","raw_affiliation_strings":["Department of Orthopaedics, Peoples College of Medical Sciences and Research Centre, Bhopal, Madhya Pradesh, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedics, Peoples College of Medical Sciences and Research Centre, Bhopal, Madhya Pradesh, India","institution_ids":["https://openalex.org/I4210144829"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5063380618","display_name":"Gautam Chatterji","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210144829","display_name":"People\u2019s University","ror":"https://ror.org/03e7xy909","country_code":"IN","type":"education","lineage":["https://openalex.org/I4210144829"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Gautam Chatterji","raw_affiliation_strings":["Department of Orthopaedics, Peoples College of Medical Sciences and Research Centre, Bhopal, Madhya Pradesh, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedics, Peoples College of Medical Sciences and Research Centre, Bhopal, Madhya Pradesh, India","institution_ids":["https://openalex.org/I4210144829"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5020063631"],"corresponding_institution_ids":["https://openalex.org/I4210144829"],"apc_list":{"value":250,"currency":"USD","value_usd":250},"apc_paid":{"value":250,"currency":"USD","value_usd":250},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.78177934,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"16","issue":"10","first_page":"400","last_page":"407"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10630","display_name":"Orthopedic Surgery and Rehabilitation","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10630","display_name":"Orthopedic Surgery and Rehabilitation","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10658","display_name":"Bone fractures and treatments","score":0.0003000000142492354,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12411","display_name":"Shoulder and Clavicle Injuries","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/metacarpal-fractures","display_name":"metacarpal fractures","score":0.9409999847412109},{"id":"https://openalex.org/keywords/proximal-phalanx-fractures","display_name":"proximal phalanx fractures","score":0.9959999918937683},{"id":"https://openalex.org/keywords/functional-outcome","display_name":"functional outcome","score":0.703000009059906},{"id":"https://openalex.org/keywords/michigan-hand-outcomes-questionnaire","display_name":"Michigan Hand Outcomes Questionnaire","score":0.9480000138282776},{"id":"https://openalex.org/keywords/conservative-treatment","display_name":"conservative treatment","score":0.7179999947547913},{"id":"https://openalex.org/keywords/fracture-immobilization","display_name":"fracture immobilization","score":0.6330000162124634},{"id":"https://openalex.org/keywords/radiographic-union","display_name":"radiological union","score":0.8840000033378601},{"id":"https://openalex.org/keywords/hand-function","display_name":"hand function","score":0.503000020980835}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9508000016212463},{"id":"https://openalex.org/C190892606","wikidata":"https://www.wikidata.org/wiki/Q3512464","display_name":"Radiological weapon","level":2,"score":0.7659000158309937},{"id":"https://openalex.org/C23131810","wikidata":"https://www.wikidata.org/wiki/Q818574","display_name":"Observational study","level":2,"score":0.7059999704360962},{"id":"https://openalex.org/C188816634","wikidata":"https://www.wikidata.org/wiki/Q2113324","display_name":"Prospective cohort study","level":2,"score":0.6348000168800354},{"id":"https://openalex.org/C139542699","wikidata":"https://www.wikidata.org/wiki/Q180335","display_name":"Phalanx","level":2,"score":0.5733000040054321},{"id":"https://openalex.org/C2909338845","wikidata":"https://www.wikidata.org/wiki/Q16797762","display_name":"Interphalangeal Joint","level":2,"score":0.5303000211715698},{"id":"https://openalex.org/C2776009832","wikidata":"https://www.wikidata.org/wiki/Q237229","display_name":"Metacarpal bones","level":2,"score":0.48660001158714294},{"id":"https://openalex.org/C2778802602","wikidata":"https://www.wikidata.org/wiki/Q14698418","display_name":"Metacarpophalangeal joint","level":3,"score":0.46540001034736633},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.4510999917984009},{"id":"https://openalex.org/C2909959974","wikidata":"https://www.wikidata.org/wiki/Q1057892","display_name":"Proximal phalanx","level":2,"score":0.43389999866485596},{"id":"https://openalex.org/C2776660947","wikidata":"https://www.wikidata.org/wiki/Q841423","display_name":"Upper limb","level":2,"score":0.3840999901294708},{"id":"https://openalex.org/C199343813","wikidata":"https://www.wikidata.org/wiki/Q12128","display_name":"Dentistry","level":1,"score":0.37560001015663147},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.3702000081539154},{"id":"https://openalex.org/C2778216619","wikidata":"https://www.wikidata.org/wiki/Q185706","display_name":"Wrist","level":2,"score":0.3547999858856201},{"id":"https://openalex.org/C3019396726","wikidata":"https://www.wikidata.org/wiki/Q25104748","display_name":"Conservative treatment","level":2,"score":0.34929999709129333},{"id":"https://openalex.org/C2780904754","wikidata":"https://www.wikidata.org/wiki/Q25104748","display_name":"Conservative management","level":2,"score":0.3416999876499176},{"id":"https://openalex.org/C8337478","wikidata":"https://www.wikidata.org/wiki/Q1777289","display_name":"Bone healing","level":2,"score":0.33809998631477356},{"id":"https://openalex.org/C29694066","wikidata":"https://www.wikidata.org/wiki/Q118301","display_name":"Orthodontics","level":1,"score":0.31869998574256897},{"id":"https://openalex.org/C36454342","wikidata":"https://www.wikidata.org/wiki/Q245341","display_name":"Radiography","level":2,"score":0.2773999869823456},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.2745000123977661},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.2605000138282776}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.13107/jocr.2026.v16.i10.8300","doi":"https://doi.org/10.13107/jocr.2026.v16.i10.8300","is_oa":true,"landing_page_url":"https://doi.org/10.13107/jocr.2026.v16.i10.8300","pdf_url":null,"source":{"id":"https://openalex.org/S2764394085","display_name":"Journal of Orthopaedic Case Reports","issn_l":"2250-0685","issn":["2250-0685","2321-3817"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj"],"host_organization":"https://openalex.org/P4310318662","host_organization_name":"Indian Orthopaedic Research Group","host_organization_lineage":["https://openalex.org/P4310318662"],"host_organization_lineage_names":["Indian Orthopaedic Research Group"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Orthopaedic Case Reports","raw_type":"journal-article"},{"id":"pmid:42851812","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42851812","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of orthopaedic case reports","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13646547","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13646547/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"J Orthop Case Rep","raw_type":"Text"},{"id":"pmh:oai:doaj.org/article:954f4577dd074bf9bdf33ea51d57e68e","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/954f4577dd074bf9bdf33ea51d57e68e","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Journal of Orthopaedic Case Reports, Vol 16, Iss 10, Pp 400-407 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.13107/jocr.2026.v16.i10.8300","doi":"https://doi.org/10.13107/jocr.2026.v16.i10.8300","is_oa":true,"landing_page_url":"https://doi.org/10.13107/jocr.2026.v16.i10.8300","pdf_url":null,"source":{"id":"https://openalex.org/S2764394085","display_name":"Journal of Orthopaedic Case Reports","issn_l":"2250-0685","issn":["2250-0685","2321-3817"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj"],"host_organization":"https://openalex.org/P4310318662","host_organization_name":"Indian Orthopaedic Research Group","host_organization_lineage":["https://openalex.org/P4310318662"],"host_organization_lineage_names":["Indian Orthopaedic Research Group"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Orthopaedic Case Reports","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.98580002784729}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4319825850","https://openalex.org/W7156080039","https://openalex.org/W2131891376","https://openalex.org/W4402720194","https://openalex.org/W1984824324","https://openalex.org/W2066291759","https://openalex.org/W2982198478","https://openalex.org/W2940848743","https://openalex.org/W4407423966","https://openalex.org/W7127580670"],"abstract_inverted_index":{"Introduction:":[0],"Metacarpal":[1],"fractures":[2,130],"are":[3],"among":[4],"the":[5,31,77,89,165],"most":[6],"common":[7],"hand":[8,191],"injuries":[9],"encountered":[10],"in":[11,34,161,189,200],"clinical":[12],"practice,":[13],"predominantly":[14,116],"affecting":[15],"young,":[16],"active":[17],"adults.":[18],"The":[19,113],"Lucerne":[20],"cast":[21,28],"(LuCa)":[22],"is":[23],"a":[24,80,120],"semi-rigid":[25],"functional":[26],"metacarpal":[27,67,129,204],"that":[29],"immobilizes":[30],"metacarpophalangeal":[32],"joints":[33],"flexion":[35],"while":[36],"preserving":[37],"wrist":[38],"and":[39,54,99,104,193],"interphalangeal":[40],"joint":[41],"motion.":[42],"Evidence":[43],"regarding":[44],"its":[45],"outcomes":[46,85],"across":[47],"varying":[48],"fracture":[49,143],"complexity":[50],"remains":[51],"limited.":[52],"Materials":[53],"Methods:":[55],"This":[56],"prospective":[57,179],"observational":[58,180],"study":[59],"enrolled":[60],"30":[61],"adult":[62],"patients":[63],"with":[64,69,76,119,186,206],"closed":[65,203],"2nd-5th":[66],"fractures,":[68,205],"or":[70,171,207],"without":[71,208],"proximal":[72,210],"phalanx":[73,211],"involvement,":[74],"managed":[75],"LuCa":[78,182],"at":[79,95,164],"tertiary":[81],"care":[82],"center.":[83],"Functional":[84],"were":[86,107,159],"assessed":[87,166],"using":[88],"Michigan":[90],"Hand":[91],"Outcomes":[92],"Questionnaire":[93],"(MHQ)":[94],"1,":[96],"4,":[97],"8,":[98],"12":[100,150,198],"weeks.":[101],"Radiological":[102],"union":[103],"immobilization":[105,169,183],"duration":[106],"recorded":[108],"as":[109],"secondary":[110],"outcomes.":[111],"Results:":[112],"cohort":[114],"was":[115,184],"male":[117],"(80%)":[118],"mean":[121],"age":[122],"of":[123,133,173],"35.27":[124],"\u00b1":[125],"9.95":[126],"years.":[127],"Isolated":[128],"constituted":[131],"83.3%":[132],"cases.":[134],"Mean":[135],"total":[136],"MHQ":[137,162],"scores":[138,163],"improved":[139],"significantly":[140],"within":[141],"both":[142],"groups":[144],"from":[145],"week":[146,149],"1":[147],"to":[148],"(P":[151],"<":[152],"0.001).":[153],"No":[154],"statistically":[155],"significant":[156],"between-group":[157],"differences":[158],"observed":[160],"follow-up":[167],"points,":[168],"duration,":[170],"timing":[172],"radiological":[174,195],"union.":[175],"Conclusion:":[176],"In":[177],"this":[178],"study,":[181],"associated":[185,209],"progressive":[187],"improvement":[188],"patient-reported":[190],"function":[192],"satisfactory":[194],"healing":[196],"over":[197],"weeks":[199],"appropriately":[201],"selected":[202],"fractures.":[212]},"counts_by_year":[],"updated_date":"2026-10-29T09:56:32.521200","created_date":"2026-10-08T00:00:00"}