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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.
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Fifth metacarpal neck fractures treated with soft wrap/buddy taping compared to reduction and casting: results of a prospective, multicenter, randomized trial
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 ...
23 Μαΐ 2016 · Metacarpal neck fractures are a common injury in young and active patients that results in substantial missed time from work. While the surgical indications are well-described, there is no consensus on the optimal treatment modality because of high complication rates.
2 Ιουν 2017 · The aim of this study was to investigate clinical outcomes of fifth metacarpal neck fractures using antegrade single elastic nail and to explore ideal puncture point to avoid iatrogenic ulnar nerve injury. Methods. A single elastic nail with suitable diameter was used in 27 cases of fifth metacarpal neck fractures with dorsal angulation over 45°.
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).
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.
