The boxers fracture: a simple and effective method of external splintage.

Maitra, A K; Şen, Bilge Hakan

doi:10.1136/emj.7.1.52

Cited by 4 publications

(3 citation statements)

References 7 publications

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“…In literature there is a significant variation of degree of palmar angulation that can be acceptable for fifth metacarpal neck fractures. Some authors [18][19][20] believe that palmar angulation exceeding 30° requires reduction and others tolerate angles of up to 40°,21 50°22 or even 70°. 23 There is no consensus on the need to reduce the fracture or on how to maintain reduction.…”

Section: Discussionmentioning

confidence: 99%

Colocação segura de pinos percutâneos em fraturas subcapitais do quinto metacarpo: um estudo anatômico

Polat¹,

Cömert²,

Atalar

et al. 2011

Acta ortop. bras.

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ABSTRACT2EMHFW×YHV :KHQ WUHDWLQJ FORVHG IUDFWXUHV RI WKH QHFN RI WKH little finger metacarpal (boxer fractures) with percutaneous transverse K-wire fixation and other procedures, there may be iatrogenic injury to the dorsal digital branch to the little finger (DDBLF) of the dorsal branch of the ulnar nerve (DBUN). In this study we aimed to describe the relationship of the DDBLF of the DBUN and the insertion points on the external side of the fifth metacarpal during percutaneous transverse K-wire fixation of subcapital fractures. Methods: Dissections and measurements regarding this branch were performed after percutaneous transverse pinning to distal part of fifth metacarpal bones in ten cadaver hands formalin fixed. Results: The results of this study confirm the close proximity of the trajectory of the with this branch and demonstrate its potential iatrogenic injury during K-wire fixation of the fifth metacarpal. Conclusions: To avoid penetration of this nerve and limit the chances of iatrogenic injury it is important to know its course. The authors describe the anatomical insertion points and believe that using the anatomical knowledge, subcapital fifth metacarpal fractures can be treated without risk of sensory deficits.

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Section: Discussionmentioning

confidence: 99%

Colocação segura de pinos percutâneos em fraturas subcapitais do quinto metacarpo: um estudo anatômico

Polat¹,

Cömert²,

Atalar

et al. 2011

Acta ortop. bras.

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“…Malgré cela, les patients restent satisfaits de leurs résultats. Maitra [11] signale 20 % de raccourcissement avec un effet de bosse dorsale, néanmoins tous les patients se disent satisfaits de l'aspect de leur main. Theeuwen [12] constate des plaintes esthétiques après traitement fonctionnel, mais démontre que cette gène esthétique n'est pas liée au degré de bascule de la tête.…”

Section: Discussionunclassified

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

Kadlub

Danino

Trost

et al. 2006

Chirurgie de la Main

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“…으로 도수 정복 없는 부목고정, 도수 정복 및 부목고정, 단기간의 고정 후 조기 관절 운동 등의 다양한 방법이 있 다 3,5,9, 10,12,13,17) . 수술적 29: 192-196, 1997. 9.…”

Section: 임상적으로 가장 많이 사용되는 치료법은 보존적 요법unclassified

Comparison between Operative and Conservative Treatment of the 5th Metacarpal Neck Fracture

Kang

Song

Park

et al. 2004

J Korean Orthop Assoc

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To evaluate the clinical results between conservative and operative treatments and to give guidelines in the treatment of angulated fifth metacarpal neck fracture. Materials and Methods: The 43 cases of fifth metacarpal neck fracture (25 operative cases, 18 conservative case) were reviewed. The functional and radiologic results between two groups were evaluated. Results: Both the operative group (preop.: 41.9°) and the conservative group (preop.: 39.7°) showed satisfactory results (operative group: 15.3°, conservative group: 24.1°) immediately after the correction. The maintenance of angulation correction was superior in operative group (15.7°) than in conservative group (34.2°), and patients' subjective satisfactions were superior in operative group too. Depressed knuckle on dorsum of hand was more frequently observed in conservative group (38.9%) than operative group (4%). Functional result in both groups was good. Conclusion: Because the correction of angulation was not maintained well in conservative group and a large portion of complications often occurred in cases of angulation more than 40°, operative treatment is needed in cases of angulation of fractured site more than 40°in the fifth metacarpal neck fracture.

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The boxers fracture: a simple and effective method of external splintage.

Cited by 4 publications

References 7 publications

Colocação segura de pinos percutâneos em fraturas subcapitais do quinto metacarpo: um estudo anatômico

Colocação segura de pinos percutâneos em fraturas subcapitais do quinto metacarpo: um estudo anatômico

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

Comparison between Operative and Conservative Treatment of the 5th Metacarpal Neck Fracture

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