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24 Φεβ 2024 · Complications of 5th metacarpal neck fractures include digit malrotation, nonunion, joint stiffness, grip weakness, neurovascular injury, and loss of the 5th knuckle's aesthetic appearance. Open fractures and fight bites predispose to infection.
To describe management trends of fifth metacarpal neck (5MCN) fractures within a large health care system. We aimed to define patient and surgeon factors associated with nonsurgical versus surgical treatment, as well as to identify factors associated with receiving care only in the emergency department (ED).
The fifth metacarpal is the most frequently fractured bone in this category, and fractures in the first and fifth metacarpals are often associated with different clinical challenges. Non-border metacarpals are prone to diaphyseal fractures, while border metacarpals typically involve the base or neck [ 1 , 2 ].
All studies were scrutinized to reflect a wide spectrum of treatment options for metacarpal neck fractures. Additionally, two widely circulated orthopaedic textbooks were utilized for general information on the presentation, radiographic features, surgical indications and fixation techniques.
18 Μαρ 2016 · Among the 4 treatments—conservative treatment (CT), antegrade intramedullary nailing (AIMN), transverse pinning (TP) with K-wires, and plate fixation (PF)—CT had the best rankings (ie, lowest risk of total complications), followed by PF, AIMN, and TP (ie, highest risk of total complications).
28 Ιουλ 2020 · Abstract. Boxer's fracture is the fifth metacarpal neck fracture resulting from direct trauma to the clenched fist. Worldwide, this type of fracture is the most typical presentation to emergency departments. The management of fifth metacarpal fractures varies from one setting to another.
15 Μαΐ 2020 · Metacarpal fractures can be categorized according to where they occur along the bone; those classified as neck fractures are the most common. 3 Numerous treatment options available for metacarpal neck fractures have been investigated in comparative studies: antegrade (AIMP) or retrograde (RIMP) intramedullary pinning, buddy strapping (BS ...
