Articular fracture of the base of the thumb metacarpal: Comparative study between direct open fixation and extrafocal pinning

Abid, Hakima; Shimi, Mohammed; Ibrahimi, A.; Mrini, Abdelmajid El

doi:10.1016/j.main.2015.01.008

Cited by 7 publications

(3 citation statements)

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“…MCI base (intra-articular) fractures can severely disrupt the TMC joint F I G U R E 1 Map of Cyprus with sites mentioned in the text and alter and impair thumb functionality. Consequently, the thumb may demonstrate restricted motion and weakness of grip and pinch, impacting hand function (Abid, Shimi, El Ibrahimi, & El Mrini, 2015).…”

Section: Introductionmentioning

confidence: 99%

“…Intra-articular fractures cross the surface of a joint. Intra-articular fractures of the MCI base involve displacement of the diaphyseal fragment, which eliminates the pivot action of the TMC joint and narrows the first interosseous space (Abid et al, 2015). These complications can limit hand function through pain, weakness of pinch and grasp and restricted motion.…”

Section: Introductionmentioning

confidence: 99%

“…MCI base (intra‐articular) fractures can severely disrupt the TMC joint and alter and impair thumb functionality. Consequently, the thumb may demonstrate restricted motion and weakness of grip and pinch, impacting hand function (Abid, Shimi, El Ibrahimi, & El Mrini, 2015). Extra‐articular fractures cause TMC joint instability, whereas intra‐articular fractures impact congruency and stability (Liverneaux, Ichihara, Hendriks, Facca, & Bodin, 2015).…”

Section: Introductionmentioning

confidence: 99%

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First metacarpal fractures from Chalcolithic Cyprus: A fall or a fist?

Lorentz

Casa

2020

Intl J of Osteoarchaeology

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Hand fractures are frequently observed in archaeological human skeletal remains. Despite this, there is an absence of human bioarchaeological studies presenting adequate description, differential diagnoses and aetiologies of first metacarpal (MCI) fractures. This study aims to characterise MCI trauma from the Middle Chalcolithic (ca. 3000 BC) cemetery of Souskiou-Laona in southwestern Cyprus, an island in the Eastern Mediterranean. Fifty-eight out of 67 MCIs were complete enough for the assessment of fractures. A total of eight MCI fractures are displayed by six individuals: four adult males discovered as articulated skeletons and two individuals from commingled contexts. These traumas were assessed macroscopically, metrically and radiographically. Differential diagnoses of these fractures identified four extraarticular fractures of the diaphysis of the MCI. Three intra-articular fractures of Bennett's type were observed: one in combination with a Colles' fracture of the distal radius and one in combination with an extra-articular fracture of the diaphysis of the MCI. One fracture involving the distal end (head) of MCI was identified, in combination with an extra-articular fracture. Clinical literature associates such MCI fractures with accidents where the first digit is held in a particular position (e.g., when holding a steering wheel, bicycle bar and horse reigns) or with interpersonal violence, with the first digit in flexed position. Therefore, we suggest that these archaeological MCI fractures may have been caused by accidents (falling onto an outstretched hand) or by interpersonal violence in the form of fist fighting. The occurrence of these fractures in males in their 20s to 40s, of substantial stature, could reflect an association with fist fighting or with sex differential activity exposing individuals of certain sex and age range to more frequent accidents. In the case that the MCI fractures observed within the Souskiou-Laona assemblage reflect interpersonal violence, this has implications to our current understandings of society in Chalcolithic Cyprus.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%