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8 Ιαν 2013 · Trick of the Trade: Metacarpal Neck Fracture. Jahss reduction technique. This technique, also known as the 90-90 approach (see top diagram), involves flexing the patient’s MCP and PIP 90 degrees. Dorsal force is applied to metacarpal head by through dorsal pressure on the proximal phalanx.
23 Μαΐ 2016 · Metacarpal neck fractures typically result from a patient striking a solid surface with a clenched fist causing volar comminution and dorsal apex angulation (12, 13). The most frequent scenario encountered is a fracture of fifth metacarpal neck otherwise known as the “boxer’s fracture.”.
This retrospective study indicates that patients with severely (>70°) angulated, isolated, closed fifth metacarpal neck fracture malunions treated without surgery or fracture reduction may experience acceptable functional outcomes based on PROs.
1 Αυγ 2022 · This article reports a novel intraoperative technique for the reduction of angulated metacarpal neck fractures undergoing retrograde headless intramedullary screw fixation.
24 Φεβ 2024 · Literature has shown that closed management of 5th metacarpal neck fractures angulated by less than 70° but without rotational deformity confers high functional capabilities, as indicated by quickDASH scores at 4 months. Most of these fractures typically heal uneventfully within 8 weeks.
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).
4 Φεβ 2021 · Angulation should be measured at more than 15 degrees, as the normal angulation of the fifth metacarpal neck is 15 degrees [7]. Kocaoğlu S and colleagues recently suggested the use of ultrasonography for detecting metacarpal fractures in the emergency department [10].
