title: Intramedullary cannulated headless screw fixation of a comminuted subcapital metacarpal fracture: case report.
abstract: This case report describes an alternative technique for the fixation of displaced comminuted subcapital fractures of the metacarpal with limited distal bone stock. Using a cannulated headless screw as an intramedullary device placed through the articular surface, we were able to secure proximal and distal bone purchase without excessive soft tissue stripping or disruption of the fracture hematoma. This technique allows early rehabilitation, and our patient went on to uneventful healing with excellent functional results.
authors.affiliation: Harvard Combined Orthopaedic Residency Program and Department of Orthopaedic Surgery, Harvard Medical School, Orthopaedic Hand Service, Massachusetts General Hospital, Boston, MA, USA.
authors.forename: Christina L
authors.initials: CL
authors.lastname: Boulton
authors.forename: Matthew
authors.initials: M
authors.lastname: Salzler
authors.forename: Chaitanya S
authors.initials: CS
authors.lastname: Mudgal
mesh_terms: D001863:Bone Screws; D004867:Equipment Design; D005260:Female; D005383:Finger Injuries / Q000503:physiopathology / Q000601:surgery*; D005594:Fracture Fixation, Intramedullary / Q000379:methods*; D018460:Fractures, Comminuted / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D050279:Metacarpal Bones / Q000293:injuries*; D008875:Middle Aged; D016059:Range of Motion, Articular