title: [Surgical treatment by percutaneous pinning of articular fractures of the base of the fifth metacarpal (descriptive study of 20 cases)].
abstract: OBJECTIVE
  The aim of this study is to show the benefits of surgical treatment of intra articular fractures of the base of the fifth metacarpal by intermetacarpal double pinning.
  
  
  METHODS
  It is a retrospective study of 20 cases of intra-articular fractures of the base of the fifth metacarpal treated by percutaneous pinning, between January 2004 and December 2010. All patients had a closed reduction and intermetacarpal double pinning.
  
  
  RESULTS
  After a mean of 19 months, we could review only 18 patients. The overall results were satisfactory, except for two patients who reported intermittent pain with changing weather and intense use of the hand, and a case of reflex sympathetic dystrophy syndrome after surgery. The evaluation of results was based on clinical criteria related to pain, mobility and grip strength, and on radiological criteria after analysis of specific hemato-metacarpal radiographs.
  
  
  CONCLUSIONS
  Intermetacarpal double pinning is a technique of choice in surgical treatment of intra-articular fractures of the base of the fifth metacarpal. It ensures good closed reduction and a satisfactory functional result.
authors.affiliation: Service de traumatologie orthopédie A, CHU Hassan II de Fès, résidence Bilal, n(o) 10, boulevard Almadina Mounaouara, Hay Amal, Narjiss, Fès, Maroc. khalidof79@hotmail.com
authors.forename: K
authors.initials: K
authors.lastname: Ibn el kadi
authors.forename: B
authors.initials: B
authors.lastname: Chbani
authors.forename: M
authors.initials: M
authors.lastname: Benabid
authors.forename: S
authors.initials: S
authors.lastname: Almoubaker
authors.forename: F
authors.initials: F
authors.lastname: Boutayeb
mesh_terms: D000328:Adult; D001858:Bone Nails; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000379:methods*; D006801:Humans; D057072:Intra-Articular Fractures / Q000601:surgery*; D008297:Male; D050279:Metacarpal Bones / Q000293:injuries* / Q000601:surgery*; D008875:Middle Aged; D016059:Range of Motion, Articular; D012189:Retrospective Studies; D016896:Treatment Outcome