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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.
Metacarpal fractures account for 18% of all hand, wrist, and forearm fractures. 1 Fractures of the fifth metacarpal neck (5MCN) are frequently seen in the emergency department (ED) and are the most common metacarpal fracture. 2–6 Nearly 50% of 5MCN fractures occur from “aggression injuries” involving a clenched fist striking a hard object ...
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.
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.”
No complications such as hyper-reduction, translational displacement, increase in the fracture line, extensor injury or infection on the paths of the Kirschner wires were observed. Discussion. Fractures of the neck of the fifth metacarpal are among the ones most commonly treated by traumatologists and hand surgeons.
28 Ιουλ 2020 · The management of fifth metacarpal fractures varies from one setting to another. Conservative management is the preferred option for closed, non-angulated, non-malrotated fractures while open fractures, significant angulation, rotational deformity, and intra-articular extension are recognised indications for surgical intervention.
18 Μαρ 2016 · We systematically reviewed the studies according to the following criteria: adults older than 18 years; patients with acute, closed, little finger metacarpal neck fractures; evaluation of the RCTs of at least 2 medical interventions; reported results of postoperative complications.
