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Fracture fifth metacarpal

Francesco Pogliacomi, Elisabetta Mijno, Alesssio Pedrazzini, Silvio Tocco, Massimo Tonani, Francesco Ceccarelli, Enrico Vaienti
BACKGROUND: Fifth metacarpal neck fractures (commonly named "boxer's fractures") are the most common metacarpal injuries and usually affect young active people. These lesions are mainly treated conservatively. Their surgical management, if indicated, is still a matter of debate. Different procedures have been described. The aim of this study was to evaluate the outcomes of 18 boxer's fractures which were synthesized with antegrade locked flexible intramedullary nailing. MATERIALS AND METHODS: All patients, at a mean follow-up of 45 months, were clinically evaluated using the Disabilities of the Arm, Shoulder and Hand (DASH) score and the Patient Rated Wrist/Hand Evaluation (PRWHE)...
April 28, 2017: Acta Bio-medica: Atenei Parmensis
Anjali Singla, Gurdeep Kalsi, Nazir Masih, Tulika Gupta, Mahesh Sharma
PURPOSE: Trauma to the hand is extremely common, often resulting in metacarpal fractures and dislocations. The surgical intervention may be required for restoration of function and appearance. The preoperative, topographical knowledge of the nutrient foramens is valuable in such operative procedures to preserve the circulation for healing and good postoperative results. METHODS: The topographic and morphometric analysis of 250 non-pathological metacarpals (fifty each from first to fifth) was performed and the foraminal index of each metacarpal was evaluated...
April 28, 2017: Surgical and Radiologic Anatomy: SRA
Hongyi Zhu, Zhengyu Xu, Haifeng Wei, Xianyou Zheng
Fracture of fifth metacarpal neck commonly requires open reduction and internal fixation. However, the current methods of internal fixation in fifth metacarpal neck fractures remain unsatisfactory. Patients with fractures of fifth metacarpal neck received open reduction and internal fixation with either locking plate in combination with two crossed Kirschner wires (K-wires) or locking plate alone were evaluated for the clinical outcomes. Clinical outcomes included grip strength, Michigan hand outcomes questionnaire (MHQ), final angulation and range of motion (ROM) one year after treatment...
April 5, 2017: Scientific Reports
Philippe Marty, Bertrand Basset, Constance Marquis, Medhi Merouani, Olivier Rontes, Alain Delbos
Ultrasound-guided regional anesthesia requires the anesthesia provider to interpret new information. This article reports on the case of a 38-year-old man scheduled for a fifth metacarpal fracture repair. Ultrasound nerve examination revealed abnormal pathology of the axillary brachial plexus consisting of an increased volume of the terminal nerves of the brachial plexus. Ultrasound scanning initiated the subsequent diagnosis of multifocal motor neuropathy. Regional anesthesia was abandoned in favor of general anesthesia...
March 31, 2017: A & A Case Reports
C Deml, S A Euler, G Schmidle, S Erhart, M Gabl, R Arora
We report on a patient who developed septic wrist arthritis with destruction of the entire carpus due to osteomyelitis following percutaneous pinning of a fifth metacarpal base fracture. Arthrodesis was performed using a 6 cm vascularized iliac bone graft. This case report may sharpen the surgeon's awareness of risks in orthopedic surgeries, even though the procedure seems to be rather simple and the patient is young and seems to be healthy.
March 1, 2017: Archives of Orthopaedic and Trauma Surgery
D E O'Briain, P H Dawson, J C Kelly, P Connolly
BACKGROUND: The 2D:4D ratio is a sexually dimorphic trait. A lower ratio is correlated with sporting prowess, successful financial trading, risk taking behaviour, aggression, and aggression-related injuries, such as the fifth metacarpal fractures. AIMS: We aimed to assess if the ratio correlates to skeletally immature patient aggression. METHODS: Radiology reports were searched for the terms "5th metacarpal" or "boxer". Of 537 X-rays, 142 had fractures...
May 2017: Irish Journal of Medical Science
Jan van Aaken, Cesare Fusetti, Stefano Lucchina, Stefania Brunetti, Jean-Yves Beaulieu, Angèle Gayet-Ageron, Kathryn Hanna, Alexander Y Shin, Eric Hofmeister
No abstract text is available yet for this article.
October 2016: Archives of Orthopaedic and Trauma Surgery
Youn Moo Heo, Sang Bum Kim, Jin Woong Yi, Tae Gyun Kim, Byoung Gu Lim
BACKGROUND: As intramedullary (IM) fixation is one of the fixation methods used in neck fractures of the fifth metacarpal, an early motion of injured finger can be allowed. The purpose of this study is to evaluate whether immediate active motion affects the stability of antegrade IM fixation in surgical treatment of neck fractures of the fifth metacarpal bone and to assess related factors. METHODS: Thirty one patients treated by closed reduction and antegrade IM fixation were consecutively enrolled...
February 2016: Journal of Hand Surgery Asian-Pacific Volume
Bah Aliou, El Alaoui Adi
No abstract text is available yet for this article.
2016: Pan African Medical Journal
Akihiko Ozaki, Tetsuya Tanimoto, Eiki Yamagishi, Shunsuke Sato, Manabu Tsukada, Toyoaki Sawano, Claire Leppold, Kenji Tsuda, Takanori Asakura, Masaharu Tsubokura, Shigeaki Kato, Masahiro Kami, Hiromichi Ohira
Osteoporosis and osteoporotic fractures represent a substantial health burden, and predominantly affect the elderly. Younger generations may also develop these conditions because of various predisposing conditions, including primary hyperparathyroidism. However, little information is available regarding early skeletal manifestations of primary hyperparathyroidism.A 30-year-old Japanese male presented with pain in his left wrist, and was diagnosed with a distal radius fracture. During surgery, we noticed decreased bone strength of the fracture site...
May 2016: Medicine (Baltimore)
Jatin Prakash, Anil Mehtani
Skeletal tuberculosis (TB) of the hand and wrist is rare, accounting for less than 1% of all osteoarticular TB. Although rare, TB of the hand and wrist is a cause of major morbidity. A common feature among all available reports on TB of the hand and wrist was a delay in diagnosis, causing residual stiffness and pain after treatment. Minimal initial symptoms, rarity of the lesion and ability of wrist TB to mimic more common pathologies account for the delay. Skeletal TB may behave differently in this age compared with the adult population...
May 2017: Journal of Pediatric Orthopedics. Part B
Naoki Kato, Keizo Fukumoto
It is well known that treatment of the old fracture-dislocations of the fifth carpometacarpal (CMC) joint is challenging. For patients with persistent pain due to this condition, numerous surgical techniques have been proposed. Here, we present a novel surgical technique, CMC joint suspension arthroplasty, using a partial slip of the extensor carpi ulnaris tendon. This procedure follows principles similar to the procedure of trapeziectomy with suspension arthroplasty for treatment of thumb CMC joint arthritis...
June 2016: Techniques in Hand & Upper Extremity Surgery
En Si Tan, Tay Shian Chao
We propose a method for open reduction and internal fixation of early and unstable ulnar (fourth and/or fifth) carpometacarpal joint (CMCJ) fracture subluxations or dislocations using a dorsal buttress plate. In ulnar CMCJ fracture dislocations, the metacarpal has a tendency to displace dorsally and proximally when there is an axial load. Using the dorsal buttress plate method of fixation, a plate is fixed proximally to the hamate, aligned parallel and dorsal to the metacarpal to act as a buttress, to resist this movement...
June 2016: Techniques in Hand & Upper Extremity Surgery
Arthur de Góes Ribeiro, Daniel Hidalgo Gonçalez, João Manoel Fonseca Filho, Guilherme Marques da Fonseca, Antonio Carlos Costa, Ivan Chakkour
OBJECTIVE: The aim of this study was to establish an indirect, easy-to-use, predictable and safe means of obtaining the true degree of displacement of fractures of the neck of the fifth metacarpal bone, through oblique radiographic views. METHODS: An anatomical specimen from the fifth human metacarpal was dissected and subjected to ostectomy in the neck region. A 1-mm Kirschner wire was fixed to the base of the fifth metacarpal bone, perpendicular to the longitudinal axis of the bone and parallel to the ground...
March 2016: Revista Brasileira de Ortopedia
Peter H DeNoble, Nicole C Record
Hemi-hamate arthroplasty is a valuable option for subacute dorsal fracture-dislocations of the proximal interphalangeal joint. Various harvesting techniques have been recommended via both anterograde and retrograde directions, both posing some technical challenges. We propose a technique for simplifying the hemi-hamate graft harvest by creating a window of visualization onto the dorsal hamate articular surface. This is achieved by resection of the dorsal-ulnar base of fourth metacarpal and the dorsal-radial base of the fifth metacarpal...
May 2016: Journal of Hand Surgery
Suk-Ho Moon, Hak-Soo Kim, Sung-No Jung, Ho Kwon
BACKGROUND: Several techniques have been designed to treat fifth metacarpal fractures reported to be effective. However, these methods cannot be easily applied to the fourth metacarpal due to its central anatomical position. In this study, we sought to analyze the functional outcomes of patients who underwent transverse pinning for a fourth metacarpal bone fracture. METHODS: A total of 21 patients were selected and their charts were retrospectively reviewed. After fracture reduction, two transverse Kirchner wires were first inserted from the fifth metacarpal to the third metacarpal transversely at the distal part of the fractured bone, and then another two wires were inserted at the proximal part of the fractured bone...
March 2016: Archives of Plastic Surgery
John C Dunn, Nicholas Kusnezov, Justin D Orr, Mark Pallis, Justin S Mitchell
Fractures of the fifth metacarpal neck, or boxer's fractures, are common, particularly among young men. Because of the high frequency of this injury, there is a considerable range of treatment options. The purpose of this systematic review was to determine whether reduction and splint or cast immobilization is necessary for fractures of the fifth metacarpal neck. The authors conducted a systematic review of all published studies that randomized these fractures to cast immobilization vs treatment with soft wrap without reduction...
May 1, 2016: Orthopedics
Shuang-Le Zong, Gang Zhao, Li-Xin Su, Wei-Dong Liang, Li-Geng Li, Guang Cheng, Ai-Jun Wang, Xiao-Qiang Cao, Qiu-Tao Zheng, Li-Dong Li, Shi-Lian Kan
The fifth metacarpal neck fractures (commonly termed boxer's fractures) are the most common type of metacarpal fractures. Many types of treatments are available in clinical practice, some of which have already been compared with other treatments by various researchers. However, a comprehensive treatment comparison is lacking. We estimated the comparative efficacy of different interventions for total complications, through a network meta-analysis of randomized controlled trials. We conducted a systematic search of the literature through October 2015...
March 2016: Medicine (Baltimore)
Serdar Kamil Cepni, Serkan Aykut, Taner Bekmezci, Ayhan Kilic
OBJECTIVE: The objective of this study was to compare the short-term results of treatment of fifth metacarpal neck fractures using a minimally invasive surgical fixation technique and the gold standard splinting method in a selected patient group of office workers with high expectations. PATIENTS AND METHODS: Twenty-four male patients (mean age: 28 years, range: 18-46 years) satisfying the inclusion criteria were enrolled in the study in two groups: surgical treatment and splinting (U-shaped ulnar gutter) groups...
June 2016: Injury
Peter G Davison, Nicole Boudreau, Ruth Burrows, Kenneth L Wilson, Michael Bezuhly
BACKGROUND: Use of a hand-based thermoplastic splint for treatment of isolated fifth metacarpal neck fractures in pediatric patients has not previously been studied in a randomized blinded trial. METHODS: The authors conducted a blinded, 1:1 allocation, two-arm parallel group, superiority design, randomized controlled trial in patients aged 16 years or younger with isolated fifth metacarpal neck fractures. Patients were immobilized for 3 weeks in a conventional forearm-based ulnar gutter or hand-based thermoplastic splint...
March 2016: Plastic and Reconstructive Surgery
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