Fractures of the fifth metacarpal

BackgroundThe objective of this study was to describe the fracture pattern for hand fractures in the Arctic region of Norway. Material and methodsUsing the hospital's radiological information system and picture archiving and communication system all traumatic hand fractures in the year of 2010 were registered. Fractures in the carpal, metacarpal and phalangeal bones were included in the study. ResultsA total of 593 patients with 691 fractures including 80 carpal, 200 metacarpal and 411 phalangeal fractures were registered. The most commonly affected bone was the 5 th metacarpal bone with a total of 99 fractures (14 %), 22 of these (22 %) were classified as subcapital or "boxer's fracture". Among male patients, the highest frequency of fractures was seen in the age group 10 to 60 years with a peak between 10 and 24 years. Adult female patients had most fractures in the age group 50 to 70 years. Generally, there were no seasonal variations, although a marked decrease of fractures could be seen in December. Triquetral fractures were more common during the winter season. Falling was the most common trauma mechanism. Hand fractures in Northern Norway4 ConclusionWith a few exceptions, hand fractures were not related to particular seasons or weekdays in this material. The distribution of hand fractures was related to age and gender and some trauma mechanisms were dominating. Keywords Hand; TraumaHand fractures in Northern Norway 5

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“…Similar results are reported in a study from the Norwegian city Drammen [12] and in other studies [3,6,13].…”

Section: Hand Fractures In Northern Norway 10supporting

confidence: 80%

The distribution of hand fractures at the university hospital of north Norway

Weum

Millerjord

Weerd

2016

Journal of Plastic Surgery and Hand Surgery

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“…It is the most common fracture of the hand and is responsible for 9.7-50% of all cases (1)(2)(3). It is commonly observed in the dominant hand of male patients (4).…”

Section: Introductionmentioning

confidence: 99%

Outcome of antegrade intramedullary fixation for juvenile fifth metacarpal neck fracture with titanium elastic nail

Shen

Cao

et al. 2017

Experimental and Therapeutic Medicine

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Abstract. The purpose of the current study was to assess the outcome of antegrade intramedullary fixation with titanium elastic nail (TEN) in displaced fifth metacarpal neck fractures. The present study included 69 consecutive juvenile patients with displaced fifth metacarpal fractures. The head-shaft angle of the fifth metacarpal and range of motion (ROM) of the metacarpophalangeal (MCP) joint were evaluated. A disabilities of the arm, shoulder and hand (DASH) questionnaire was used to assess upper arm function. The head-shaft angle of the affected side was significantly improved postoperatively (P<0.05). No marked difference was observed between the affected and unaffected side in head-shaft angle and ROM. The average DASH score was 1.7 (range, 0-6.0). All patients obtained anatomical reduction postoperatively and the average healing time was 5.7±1.09 weeks (range, 5-10 weeks) with no non-union cases. Therefore antegrade intramedullary fixation with TEN is recommended as an easy, reliable and minimally invasive surgical technique for treating displaced fifth metacarpal neck fractures.

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“…Non-thumb metacarpals account for around 88 % of all metacarpal fractures, with the fifth finger most commonly involved [21]. The majority of metacarpal fractures are isolated injuries, simple, closed, and stable.…”

Section: Introductionmentioning

confidence: 99%

“…Metacarpal fractures comprise between 18-44 % of all hand fractures [10,21]. Non-thumb metacarpals account for around 88 % of all metacarpal fractures, with the fifth finger most commonly involved [21].…”

Section: Introductionmentioning

confidence: 99%

Metacarpal Fractures: Treatment and Complications

Kollitz

Hammert

Vedder

et al. 2013

Hand (New York, N,Y.)

171

174

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Metacarpal fractures comprise between 18-44 % of all hand fractures. Non-thumb metacarpals account for around 88 % of all metacarpal fractures, with the fifth finger most commonly involved [19]. The majority of metacarpal fractures are isolated injuries, which are simple, closed, and stable. While many metacarpal fractures do well without surgery, there is a paucity of literature and persistent controversy to guide the treating physician on the best treatment algorithm. The purpose of this article is to review non-thumb metacarpal anatomy and treatment protocols for nonoperative management of stable fractures, and compare existing literature on surgical techniques for treatment of acute fractures and complications.

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Fractures of the fifth metacarpal

Cited by 71 publications

References 20 publications

The distribution of hand fractures at the university hospital of north Norway

The distribution of hand fractures at the university hospital of north Norway

Outcome of antegrade intramedullary fixation for juvenile fifth metacarpal neck fracture with titanium elastic nail

Metacarpal Fractures: Treatment and Complications

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