Embrochage en L de Vives des fractures du col du cinquième métacarpien (À propos de 24 cas)

Marzouki, A.; Elmrini, Abdelmajid; Elibrahimi, Abdelhalim; Boutayeb, F.

doi:10.1016/j.main.2009.01.004

Cited by 7 publications

(1 citation statement)

References 5 publications

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“…Previously, Marzouki et al [16] presented a retrospective study of fifth metacarpal neck fractures with pins in an “L” configuration and obtained good clinical and radiological results. Potenza et al [17] treated 28 patients with fifth metacarpal bone neck fractures using percutaneous transverse K-wire pinning techniqe, and reported that the surgical results were generally good at an average of 25 months after surgery.…”

Section: Discussionmentioning

confidence: 99%

Treatment of fifth metacarpal neck fractures with antegrade single elastic intramedullary nailing

She

2017

BMC Musculoskelet Disord

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Background: The aim of this study was to investigate clinical outcomes of fifth metacarpal neck fractures using antegrade single elastic nail and to explore ideal puncture point to avoid iatrogenic ulnar nerve injury. Methods: A single elastic nail with suitable diameter was used in 27 cases of fifth metacarpal neck fractures with dorsal angulation over 45°. An initial entry point was perforated at the ulnar-dorsal base of the metacarpal. The nail was inserted in an antegrade approach. The nail was usually removed at about 5 weeks postoperatively. Results: At final follow up, all fractures proceeded to bony union. The mean total passive motion was 285°and the mean total active motion (TAM) was 270°. The mean angulation decreased from 50.2 ± 6.3°preoperatively to 7. 4 ± 2.3°postoperatively (p < 0.001). The mean DASH-Score was 2.1 ± 3.6 points after surgery. Two cases of skin irritation and one case of the dorsal cutaneous branch of the ulnar nerve (DCBUN) injury were observed. Superficial wound infections were not observed. Conclusions: Collectively, antegrade single elastic intramedullary nailing was a minimally invasive and reliable fixation technique for fifth metacarpal neck fractures with dorsal angulation over 45°. Appropriate puncture position helped to reduce nerve damage.

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Section: Discussionmentioning

confidence: 99%