Immediate mobilization of fractures of the neck of the fifth metacarpal

Arafa, M.; Haines, JF; Noble, J.; Carden, Donna L.

doi:10.1016/0020-1383(86)90237-8

Cited by 60 publications

(34 citation statements)

References 2 publications

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“…These results compare favorably to with the reported time off work in the non-operatively treated series of Arafa et al, Eichenholtz et [2,17,32,43,46] The details of remaining patients were not available.…”

Section: Surgical Techniquesupporting

confidence: 79%

“…Moreover all the treatment modalities have reported good functional and end results. [1][2][3][4][5]9,17,32,45,46] These fractures, also referred to as 'Boxer's fracture' [9], are commonly encountered in the dominant hand of individuals and show male predominance. They commonly occur as a result of an axial impact on a clenched fist.…”

Section: Introductionmentioning

confidence: 99%

“…[2][3][4][5] While there is universal agreement over the management of undisplaced fractures by non-operative means, a varied opinion exists regarding the amount of acceptable volar angulation for non-operative management. [2][3][4][5][6][7][8][9]17,22,27,32,38,[41][42][43][44][45] Various reports suggest that it is almost impossible to maintain the reduction by non-operative means. [7,9,20,21,28,37,43,46] This leads to persistent deformity and morbidity in almost every case of displaced fifth metacarpal neck fracture treated non-operatively.…”

Section: Introductionmentioning

confidence: 99%

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“Bouquet technique” for displaced boxers fracture: Surgical technique and outcomes in143 consecutive cases

Memon

Patankar

Nagori

2018

Int Jour of Biomed Res

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Background: Fifth metacarpal neck fractures, also known as Boxer's fractures, commonly occur as a result of axial impact on a clenched fist. There is no agreement over the optimum management of undisplaced boxers fracture. We present the results of treatment by a Bouquet technique, described by Foucher in 143 consecutive cases of displaced fifth metacarpal neck fractures. Methods: We retrospectively reviewed our records for 143 consecutive cases of fifth metacarpal neck fractures treated with Bouquet technique. Clinical and radiological evaluation was done at 6 weeks, 12 weeks and 6 months. Total active motion of the fifth digit, radiography and complications if any were noted. Results: Of 143 cases, there were 113 cases with closed reduction and 30 with open reduction. Radiological union was achieved in 140 cases. Remaining 3 were lost to follow up. Good to excellent result was achieved in 95% cases. Seven cases developed bursitis at the K-wire entry site which required k-wire removal. Conclusion:The technique of flexible antegrade intramedulary nailing of fifth metacarpal neck fractures is simple, safe, soft tissue sparing, minimally invasive technique giving excellent functional and cosmetic results with minimal complications.

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Section: Surgical Techniquesupporting

confidence: 79%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

“Bouquet technique” for displaced boxers fracture: Surgical technique and outcomes in143 consecutive cases

Memon

Patankar

Nagori

2018

Int Jour of Biomed Res

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“…In our series, all the fractures were retained nonoperatively regardless of volar angulation. Reduction of the shaft and neck fractures is fairly easy when applying the principle of Jahss (1938), but maintaining the reduction with conservative treatment has proven difficult (Borgeskov 1967, Holst-Nielsen 1976, Arafa et al 1986). In our series, splintage with a dorsaliulnar plaster cast could not retain a reduced volar angulation, and fracture angulation at cast removal was practically the same as after the initial trauma.…”

Section: (7-21)mentioning

confidence: 99%

Functional treatment of metacarpal fractures: 100 randomized cases with or without fixation

Konradsen

Nielsen

Albrecht‐Beste

1990

Acta Orthopaedica Scandinavica

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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). The majority of these fractures are nondisplaced or minimally displaced without rotational deformity, and may be treated by conservative treatment with a good functional outcome (5,6).…”

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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Immediate mobilization of fractures of the neck of the fifth metacarpal

Cited by 60 publications

References 2 publications

“Bouquet technique” for displaced boxers fracture: Surgical technique and outcomes in143 consecutive cases

“Bouquet technique” for displaced boxers fracture: Surgical technique and outcomes in143 consecutive cases

Functional treatment of metacarpal fractures: 100 randomized cases with or without fixation

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

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