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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.”.
- Figure - PMC - National Center for Biotechnology Information
Hand injuries are a common emergency department...
- Outcome of Boxer’s Fractures Treated by a Soft Wrap and Buddy Taping: A ...
Radiographs of the fracture, and as well, the opposite hand,...
- Fifth Metacarpal Fracture - StatPearls - NCBI Bookshelf
Complications of 5th metacarpal neck fractures include digit...
- Clinical Outcomes of Severely Angulated Fifth Metacarpal Neck Fractures ...
This retrospective study indicates that patients with...
- Figure - PMC - National Center for Biotechnology Information
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.
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.
Fracture angulation, associated injuries, insurance status, and treatment by a hand surgeon were all significantly associated with an increased likelihood of surgery. Conclusions. Of the 611 5MCN fractures identified, 90% were treated nonsurgically. Patient and surgeon factors were associated with increased odds of surgery.
1 Νοε 2020 · The synthesis of this review indicates that 90% of fractures of the metacarpal neck with apex angulation up to 70° can be treated successfully with a functional metacarpal brace without reduction. Disability of the Arm, Shoulder and Hand questionnaire scores <10 are uniformly reported.
1 Νοε 2020 · Based on these reports, dogma resulted: there is indication for surgical treatment of neck fractures of the fifth metacarpal in the presence of a dorsal apex angulation exceeding 30° or a metacarpal shortening of 3 mm or more. Especially palmar angulation has been intensively debated.
2 Ιουν 2024 · Fifth metacarpal neck fractures (FMCNFs) are common among paediatric patients. Complications include reduced metacarpophalangeal (MCP) range of motion and grip strength, which impede the hand’s functional abilities. Various management options are available, but indications are not standardised.
