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Fifth metacarpal fracture

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https://www.readbyqxmd.com/read/28718330/anatomic-assessment-of-k-wire-trajectory-for-transverse-percutaneous-fixation-of-small-finger-metacarpal-fractures-a-cadaveric-study
#1
Louis C Grandizio, Amy Speeckaert, Zach Kozick, Joel C Klena
BACKGROUND: The purpose of this cadaveric study is to evaluate the trajectory of percutaneous transverse Kirschner wire (K-wire) placement for fifth metacarpal fractures relative to the sagittal profile of the fifth metacarpal in order to develop a targeting strategy for the treatment of fifth metacarpal fractures. METHODS: Using 12 unmatched fresh human upper limbs, we evaluated the trajectory of percutaneous transverse K-wire placement relative to the sagittal profile of the fifth metacarpal in order to develop a targeting strategy for treatment of fifth metacarpal fractures...
February 1, 2017: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/28718309/intra-articular-fracture-of-the-base-of-the-first-metacarpal-bone-treatment-through-a-volar-approach
#2
Violeta Levy, Marcelo Mazzola, Martín Gonzalez
BACKGROUND: Management of Bennett fractures has been controversial. Early reports supported closed reduction and casting with or without percutaneous pinning. Later, open reduction and internal fixation was advocated. The purpose of this article is to assess the surgical treatment using a direct volar approach. METHODS: Between March 2008 and December 2014, 21 patients with intra-articular first metacarpal fractures displaced more than 1 mm were operated on using a direct volar approach...
January 1, 2017: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/28716512/results-of-the-dubert-procedure-for-chronic-painful-fracture-dislocations-of-the-fifth-carpometacarpal-joint-a-report-of-6-cases
#3
N Meraghni, G Bacle, E Marteau, Y Bouju, J Laulan
Carpometacarpal (CMC) fracture-dislocations of the fifth ray are common. For chronic injuries, Dubert proposed combining resection arthroplasty of the base of the fifth metacarpal (M5) with synostosis with the fourth metacarpal (M4). Our aim was to evaluate the results of this procedure. Between 1994 and 2014, 7 men and 1 woman with an average age of 36 years (range, 27 to 45) were operated on. The right hand was involved in 6 of the 8 cases. All patients had symptomatic osteoarthritis secondary to isolated articular malunion and subluxation of the 5th CMC joint...
July 14, 2017: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/28587371/outcome-of-antegrade-intramedullary-fixation-for-juvenile-fifth-metacarpal-neck-fracture-with-titanium-elastic-nail
#4
Kaiying Shen, Yunlan Xu, Dan Cao, Zhigang Wang, Haiqing Cai
The purpose of the current study was to assess the outcome of antegrade intramedullary fixation with titanium elastic nail (TEN) in displaced fifth metacarpal neck fractures. The present study included 69 consecutive juvenile patients with displaced fifth metacarpal fractures. The head-shaft angle of the fifth metacarpal and range of motion (ROM) of the metacarpophalangeal (MCP) joint were evaluated. A disabilities of the arm, shoulder and hand (DASH) questionnaire was used to assess upper arm function. The head-shaft angle of the affected side was significantly improved postoperatively (P<0...
June 2017: Experimental and Therapeutic Medicine
https://www.readbyqxmd.com/read/28577350/treatment-of-fifth-metacarpal-neck-fractures-with-antegrade-single-elastic-intramedullary-nailing
#5
Yuanshi She, Youjia Xu
BACKGROUND: 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°. An initial entry point was perforated at the ulnar-dorsal base of the metacarpal. The nail was inserted in an antegrade approach...
June 2, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28551317/elastic-retrograde-intramedullary-percutaneous-pinning-for-fifth-metacarpal-neck-fractures-a-series-of-32-patients
#6
M-A Poumellec, N Dreant
The aim of our study was to evaluate an original surgical technique for the treatment of fifth metacarpal neck fractures: elastic retrograde intramedullary percutaneous pinning (ERIPP). From January 2014 to January 2016, patients with a fifth metacarpal neck fracture with greater than 30° volar displacement and/or clinodactyly were included. All patients underwent an ERIPP procedure. With this technique, K-wires are used as joysticks to assist reduction when the Jahss maneuver is insufficient. Clinical evaluation incorporated the DASH score, range of motion and grip strength at 3months...
May 24, 2017: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/28467335/fifth-metacarpal-neck-fractures-fixation-with-antegrade-locked-flexible-intramedullary-nailing
#7
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
https://www.readbyqxmd.com/read/28455539/morphological-and-topographical-anatomy-of-nutrient-foramens-in-human-metacarpals-and-their-surgical-importance
#8
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
https://www.readbyqxmd.com/read/28378776/locking-plate-alone-versus-in-combination-with-two-crossed-kirschner-wires-for-fifth-metacarpal-neck-fracture
#9
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
https://www.readbyqxmd.com/read/28368901/fortuitous-diagnosis-of-preexisting-neuropathy-during-ultrasound-guided-regional-anesthesia-performance-a-case-report
#10
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...
June 15, 2017: A & A Case Reports
https://www.readbyqxmd.com/read/28251281/total-wrist-arthrodesis-for-septic-wrist-arthritis-and-loss-of-the-bony-carpus-following-percutaneous-pinning-of-the-fifth-carpometacarpal-joint-a-case-report
#11
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.
June 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/27804078/assessment-of-the-2d-4d-ratio-in-aggression-related-injuries-in-children-attending-a-paediatric-emergency-department
#12
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
https://www.readbyqxmd.com/read/27604097/erratum-to-fifth-metacarpal-neck-fractures-treated-with-soft-wrap-buddy-taping-compared-to-reduction-and-casting-results-of-a-prospective-multicenter-randomized-trial
#13
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
https://www.readbyqxmd.com/read/27454499/radiologic-changes-by-early-motion-in-neck-fractures-of-the-fifth-metacarpal-treated-with-antegrade-intramedullary-fixation
#14
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
https://www.readbyqxmd.com/read/27231504/-dorsal-carpometacarpal-dislocations-of-fourth-and-fifth-metacarpal-without-fracture
#15
Bah Aliou, El Alaoui Adi
No abstract text is available yet for this article.
2016: Pan African Medical Journal
https://www.readbyqxmd.com/read/27196476/finger-fractures-as-an-early-manifestation-of-primary-hyperparathyroidism-among-young-patients-a-case-report-of-a-30-year-old-male-with-recurrent-osteoporotic-fractures
#16
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)
https://www.readbyqxmd.com/read/27111553/hand-and-wrist-tuberculosis-in-paediatric-patients-our-experience-in-44-patients
#17
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
https://www.readbyqxmd.com/read/27077466/suspension-arthroplasty-for-old-fracture-dislocations-of-the-fifth-carpometacarpal-joint
#18
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
https://www.readbyqxmd.com/read/27077465/dorsal-buttress-plate-fixation-of-ulnar-carpometacarpal-joint-fracture-dislocations
#19
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
https://www.readbyqxmd.com/read/27069882/what-is-the-real-angle-of-deviation-of-metacarpal-neck-fractures-on-oblique-views-a-radiographic-study
#20
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
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