title: Fractures of the fifth metacarpal neck.
abstract: 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.
authors.affiliation: Département de Chirurgie Orthopédique, CHU, Hôpital Nord, Grenoble.
authors.forename: G
authors.initials: G
authors.lastname: Frere
authors.forename: G
authors.initials: G
authors.lastname: Hoel
authors.forename: F
authors.initials: F
authors.lastname: Moutet
authors.forename: D
authors.initials: D
authors.lastname: Ravet
mesh_terms: 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