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  1. Traditionally, treatment consists of closed reduction and external splinting in a neutral position using plaster of Paris (POP), involving the metacarpal joint, the proximal interphalangeal joint and the carpo‐metacarpal joint. An alternative treatment strategy is functional treatment using taping or bracing that does not restrict movement.

  2. Overall, 61 cases (10%) were treated surgically. Types of surgical treatment included K-wire fixation (37), plate fixation (15), screw fixation (8), and external fixation (1). Figure 2 presents the treatment and management distributions for all included 5MCN fractures.

  3. 10 Νοε 2015 · In conclusion, current evidence suggests that conservative treatment is the optimum treatment for the fifth metacarpal neck fractures because of reduced total complication rates. And TP with K-wires is the worst option with highly total complication rates.

  4. 24 Φεβ 2024 · Objectives: Identify the signs and symptoms indicative of a 5th metacarpal fracture. Determine critical diagnostic imaging studies when evaluating patients with a suspected 5th metacarpal fracture. Compare the treatment options available for 5th metacarpal fractures, including both conservative and surgical care.

  5. 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.

  6. 1 ημέρα πριν · Intramedullary fixation (IMF) is a surgical option for treatment of transverse, comminuted, and short oblique metacarpal fracture patterns of the neck, shaft, and base, with favorable outcomes. 19–21 Multiple studies have demonstrated that this technique offers early postoperative active mobilization, reliable union rates, and stability ...

  7. Both conservative management in ulnar gutter slab and percutaneous transverse pinning are considered efective methods in the treatment of simple extra-articular fifth metacarpal neck fractures with angulation between 30 and 70 degrees (AO: 77 A3.1).

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