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  1. 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.”

  2. 5 Σεπ 2024 · Metacarpal Fractures are the most common hand injury and are divided into fractures of the head, neck, or shaft. Diagnosis is made by orthogonal radiographs the hand. Treatment is based on which metacarpal is involved, location of the fracture, and the rotation/angulation of the injury.

  3. 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.

  4. 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.

  5. 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.

  6. 24 Ιουν 2022 · Fractures of the metacarpal neck, including so-called "boxer's fractures" (fractures of the fifth metacarpal neck) account for a substantial percentage of all hand fractures. The presentation, diagnosis, and management of metacarpal neck fractures is reviewed here.

  7. 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 ...

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