Current Management of Metacarpal Fractures

Diaz-Garcia, Rafael J.; Waljee, Jennifer F.

doi:10.1016/j.hcl.2013.09.004

Cited by 92 publications

(83 citation statements)

References 65 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

Section: Introductionmentioning

confidence: 99%

“…[1] Fractures of the metacarpal shaft occur as a result of axial loading, torsion, or direct falls and are classified as transverse, oblique, or comminuted. [1][2][3][4][5][6][7][8][9] The fractures of all metacarpals from the fixation could be necessary, whereas comminuted fractures with or without segmental bone loss demand restoring and maintaining metacarpal length. [2][3][4]6,11,13,15,20,22,23] Surgical methods include percutaneous or open Kirschner wire fixation, intramedullary fixation, open or percutaneous interfragmentary screw fixation, and external fixation.…”

Section: Introductionmentioning

confidence: 99%

“…[2][3][4]6,11,13,15,20,22,23] Surgical methods include percutaneous or open Kirschner wire fixation, intramedullary fixation, open or percutaneous interfragmentary screw fixation, and external fixation. [1,2,10,16,24,25] Kirschner wires are the most commonly used fixation materials after closed or open reduction. [2,15] However, late initiation of movement resulting in a stiff hand, pin tract infection, and pin migration are the disadvantages of this method.…”

Section: Introductionmentioning

confidence: 99%

“…Plate fixation is used in comminuted metacarpal fractures. [1,2,11,16,17,20,[26][27][28] A stable fixation allows for passive and active movements in intrinsic muscles affected by the trauma, significantly improving hand functions. Preservation of the anatomic reduction prevents rotational deformity.…”

Section: Introductionmentioning

confidence: 99%

“…[4,12,13,14] Most metacarpal fractures are treated conservatively. [1][2][3]9,11,[15][16][17][18][19][20][21] If closed methods fail to achieve or maintain reduction when there is angulation, rotation or shortness because of the location (intra articular vs. extra articular), surgery could be used. Oblique and spiral fractures are prone to malrotation so operative…”

mentioning

confidence: 99%

See 4 more Smart Citations

Results of surgical treatment in metacarpal shaft fractures using low profile mini plates

Aykut¹,

Öztürk²,

Özcan

et al. 2015

Ulus Travma Acil Cerrahi Derg

View full text Add to dashboard Cite

BACKGROUND: Metacarpal fractures are among the most common fractures of the hand. They may lead to loss of function if treated improperly. These injuries can be treated conservatively. However, if significant shortening, rotational deformity and angulation occur, surgical treatment is required. In this article, results of metacarpal fractures treated with open reduction and internal fixation with mini plates were presented.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

Results of surgical treatment in metacarpal shaft fractures using low profile mini plates

Aykut¹,

Öztürk²,

Özcan

et al. 2015

Ulus Travma Acil Cerrahi Derg

View full text Add to dashboard Cite

show abstract

Exploring radiogrammetry beyond the second metacarpal: Using the third, fourth, and fifth metacarpals to quantify cortical bone

Schneider

Gilmour

2022

American J Hum Biol

View full text Add to dashboard Cite

Traditional metacarpal radiogrammetry, a method for quantifying cortical bone in metacarpals to identify bone loss, typically relies on the presence of an unaltered or undamaged second metacarpal. This study compares the cortical indices of the second to the third, fourth, and fifth metacarpals to test if an additional metacarpal can be used as substitute when the second metacarpal is not available for study.Methods: Hand and wrist radiographs from the Burlington Growth Study, belonging to 56 individuals (28 females; 28 males) between 18 and 20 years old, were included in this study. Cortical indices were calculated for metacarpals two through five. Cortical index differences were statistically compared by sex, and the second metacarpal cortical indices were correlated with those of the third, fourth, and fifth metacarpals. Results: The third, fourth, and fifth metacarpal cortical indices were all significantly correlated with the second metacarpal cortical indices for both females and males (p < .05). Cortical indices of the second metacarpal were most strongly correlated with those of the third metacarpal (females r = .644, p < .001; males r = .643, p < .001). Conclusion:The results of this study indicate that the third, fourth, or fifth metacarpal may serve as substitutes for cortical index analyses when the second metacarpal is unavailable or unsuitable for analysis. While the second metacarpal should remain the primary choice in radiogrammetry analyses, the third metacarpal is the most suitable alternative for quantitative analyses of cortical bone.

show abstract

Disorders of the Upper Extremity

Schaffer

2014

Family Medicine

View full text Add to dashboard Cite

Current Management of Metacarpal Fractures

Cited by 92 publications

References 65 publications

Results of surgical treatment in metacarpal shaft fractures using low profile mini plates

Results of surgical treatment in metacarpal shaft fractures using low profile mini plates

Exploring radiogrammetry beyond the second metacarpal: Using the third, fourth, and fifth metacarpals to quantify cortical bone

Disorders of the Upper Extremity

Contact Info

Product

Resources

About