Fractures of the fifth metacarpal neck.
The authors reviewed 129 cases of fractures of the neck of the fifth metacarpal. The radiological work-up of this fractures should include an anterio-posterior film with the hand supinated, and an oblique ulnar view with the hand pronated. This fractures can be separated into 4 categories: true cervical fractures; cervico-cephalic fractures; cervico-diaphysary fractures; and epiphyseal separations. In 78 patients an immediate mobilisation was performed. 51 fractures have been treated by multiple medullary pinning because of an unacceptable volar angulation associated with mal-rotation. Good and excellent results were obtained in 86% of cases.
Frere
G
G
Département de Chirurgie Orthopédique, CHU, Hôpital Nord, Grenoble.
Hoel
G
G
Moutet
F
F
Ravet
D
D
D000328:Adult; D001858:Bone Nails; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal; D050723:Fractures, Bone / Q000145:classification* / Q000000981:diagnostic imaging* / Q000628:therapy; D018737:Hand Strength; D006801:Humans; D007103:Immobilization; D008663:Metacarpus / Q000293:injuries*; D011403:Pronation; D011859:Radiography; D016896:Treatment Outcome