L'embrochage fasciculé en bouquet dans les fractures du col du cinquième métacarpien. A propos d'une série de cinquante cas

Évaluation du coût des fractures du col du cinquième métacarpien : traitement orthopédique et chirurgical

“…En effet, Foucher [6] décrit des cas d'hypoesthésie de la branche dorsale ulnaire dans les suites d'embrochage centromédullaire en bouquet. Barry [13] décrit, pour cette même technique, des cas de cicatrice douloureuse (10 % des patients) et des raideurs articulaires (6 % des patients).…”

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

“…[21,38,41] Our complication rate was comparable to those encountered by the previous authors. [4,6,11,21,25,38,41,45] Two of our patients suffered from adventitious bursitis due to the imperfectly trimmed proximal end of wires. These were removed following fracture union.…”

“…Subsequently the French, German and English literatures have reported favorable results comparable to our series. [4,6,11,20,21,25,37,38,41,44,45] Other authors have successfully employed this technique in other metacarpal fractures as well. [21,25,26,41,45] Our indications for internal fixation surgery had been; displaced or unstable fractures of metacarpal necks, open fractures with soft tissue trauma and patients unwilling to accept the cosmetic deformity resulting from non operative treatment.…”

“…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.…”

“…[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.…”