Fractures of the metacarpal neck of the little finger

Lowdon, I.M.R.

doi:10.1016/0020-1383(86)90332-3

Cited by 65 publications

(33 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…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%

“…[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%

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

View full text Add to dashboard Cite

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.

show abstract

Section: Surgical Techniquesupporting

confidence: 79%

Section: Introductionmentioning

confidence: 99%

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

Memon

Patankar

Nagori

2018

Int Jour of Biomed Res

View full text Add to dashboard Cite

show abstract

“…This observation suggests that these fractures were stable. Closed reduction might displace a stable fracture, and in other studies, all fractures that had been reduced lost reduction irrespective of the type of immobilization [5,14,19,20,22,23]. Consequently, reduction of a subcapital fracture of the fifth metacarpal is not necessary, and early mobiliza- Table 2 Angulation and shortening of the fifth metacarpal fractures at the beginning and at the end of treatment.…”

Section: Discussionmentioning

confidence: 99%

Outcome of Boxer's Fractures Treated by a Soft Wrap and Buddy Taping: A Prospective Study

Aaken

Kampfen

Berli

et al. 2007

Hand (New York, N,Y.)

View full text Add to dashboard Cite

Introduction The ideal treatment for a boxer's fracture remains controversial, particularly the degree of volar dislocation considered acceptable for nonoperative treatment. Patients and Methods From December 2003 to December 2004, 25 patients who sustained a subcapital metacarpal fracture of the little finger with volar angulation between 30 to 75°were prospectively enrolled in the study. All patients were treated with a circular self-adherent wrap covering metacarpal bones II-V and buddy taping of the ring and little fingers for a period of 3 weeks while allowing immediate free range of motion.Results Final evaluation at a mean of 5 months revealed all patients to be satisfied without subjective functional impairment. All fractures healed, and the angulation of the fracture remained unchanged, but moderate shortening was observed. Active flexion of the metacarpophalangeal (MCP) joint was significantly lower on the fracture side, but as the median degree of MCP flexion was the same, this statistical difference was without clinical relevance. There was no loss in grip strength. A subjective long-term evaluation was performed by phone; at a median of 3 years, a QuickDash score gave a median of 0 point. Conclusion Treating a boxer's fracture with angulation of up to 75°by soft wrap and buddy taping resulted in satisfied patients and good clinical results.

show abstract

“…There is no general agreement regarding the correct method of maintaining fracture reduction or as regards to the acceptable angulation at the fracture site (Hunter and Cowen 1970, Bloem 1971, Holst-Nielsen 1976, O'Brien 1982, Lowdon 1986, Moutet and Fr6e 1986.…”

Section: Functional Treatment Of Metacarpal Fractures 100 Randomized mentioning

confidence: 99%

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

Konradsen

Nielsen

Albrecht‐Beste

1990

Acta Orthopaedica Scandinavica

View full text Add to dashboard Cite

Fractures of the metacarpal neck of the little finger

Cited by 65 publications

References 4 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

Outcome of Boxer's Fractures Treated by a Soft Wrap and Buddy Taping: A Prospective Study

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

Contact Info

Product

Resources

About