Skip Navigation
Skip to contents

J Musculoskelet Trauma : Journal of Musculoskeletal Trauma

Search
Advanced Search
OPEN ACCESS
mobile search button mobile menu button

Articles

Page Path
HOME > J Musculoskelet Trauma > Volume 25(4); 2012 > Article
Original Article
Treatment of 5th Metacarpal Neck Fracture Using Percutaneous Transverse Fixation with K-Wires
Jae-Hak Jung, M.D., Kwan-Hee Lee, M.D., Yong-Ju Kim, M.D., Woo-Jin Lee, M.D., Sung-Hyun Choi, M.D.
Journal of the Korean Fracture Society 2012;25(4):317-322.
DOI: https://doi.org/10.12671/jkfs.2012.25.4.317
Published online: October 19, 2012

Department of Orthopedic Surgery, Seoul Red Cross Hospital, Seoul, Korea.

Address reprint requests to: Kwan-Hee Lee, M.D. Department of Orthopedic Surgery, Seoul Red Cross Hospital, 9, Saemunan-ro, Jongno-gu, Seoul 110-747, Korea. Tel: 82-2-2002-8392, Fax: 82-2-2002-8398, 0428joy@naver.com
• Received: December 23, 2011   • Revised: February 13, 2012   • Accepted: May 26, 2012

Copyright © 2012 The Korean Fracture Society

  • 64 Views
  • 2 Download
prev next
Full Article

Download PDF Download PDF

  • Purpose
    To evaluate the radiologic and clinical results of percutaneous transverse fixation with K-wires for 5th metacarpal neck fracture.
  • Materials and Methods
    Between January 2007 and September 2010, 18 patients with a 5th metacarpal neck fracture, who underwent operative treatment, were included in this study. The surgical method was percutaneous transverse fixation using K-wires. We evaluated fracture angulation in oblique radiographs preoperatively, postoperatively, and at final follow-up, and used SPSS to perform statistical analysis. We also performed clinical evaluation using the Disabilities of the Arm, Shoulder and Hand (DASH) score.
  • Results
    All of the 18 cases were completely united, and in the oblique radiographs, the angulation was corrected from 50.69° to 11.68°. The average difference between postoperative and final follow-up angulations was 0.14°, which was statistically insignificant. Clinically, the DASH score was 1.030 and no complications were observed.
  • Conclusion
    Percutaneous transverse fixation using K-wires could be one of the best ways to treat a 5th metacarpal neck fracture because of its simple method and low rate of complications.
  • Key words: 5th Metacarpal bone, Neck fracture, K-wires, Percutaneous transverse fixation
  • 1. Ali A, Hamman J, Mass DP. The biomechanical effects of angulated boxer's fractures. J Hand Surg Am, 1999;24:835-844.Article
  • 2. Berkman EF, Miles GH. Internal fixation of metacarpal fractures exclusive of the thumb. J Bone Joint Surg Am, 1943;25:816-821.
  • 3. Birndorf MS, Daley R, Greenwald DP. Metacarpal fracture angulation decreases flexor mechanical efficiency in human hands. Plast Reconstr Surg, 1997;99:1079-1083.Article
  • 4. Black D, Mann RJ, Constine R, Daniels AU. Comparison of internal fixation techniques in metacarpal fractures. J Hand Surg Am, 1985;10:466-472.Article
  • 5. Choi SJ, Lee YH, Chang HG, Lee CJ, Cho WH. The 5th metacarpal neck fracture treated by closed reduction and percutaneous intramedullary K-wire fixation. J Korean Soc Fract, 1995;8:696-704.Article
  • 6. Ford DJ, Ali MS, Steel WM. Fractures of the fifth metacarpal neck: is reduction or immobilisation necessary? J Hand Surg Br, 1989;14:165-167.ArticlePDF
  • 7. Foucher G. "Bouquet" osteosynthesis in metacarpal neck fractures: a series of 66 patients. J Hand Surg Am, 1995;20:S86-S90.Article
  • 8. Galanakis I, Aligizakis A, Katonis P, Papadokostakis G, Stergiopoulos K, Hadjipavlou A. Treatment of closed unstable metacarpal fractures using percutaneous transverse fixation with Kirschner wires. J Trauma, 2003;55:509-513.Article
  • 9. Hunter JM, Cowen NJ. Fifth metacarpal fractures in a compensation clinic population. A report on one hundred and thirty-three cases. J Bone Joint Surg Am, 1970;52:1159-1165.
  • 10. Kang HJ, Song KW, Park KK, Sung SY, Hahn SB. Comparison between operative and conservative treatment of the 5th metacarpal neck fracture. J Korean Orthop Assoc, 2004;39:203-209.ArticlePDF
  • 11. Kim MH, Yoo MJ, Kim JP, Lee JH, Lee JW. Bouquet pin intramedullary nail technique of the 5th metacarpal neck fractures. J Korean Fract Soc, 2007;20:64-69.Article
  • 12. Lamb DW, Abernethy PA, Raine PA. Unstable fractures of the metacarpals. A method of treatment by transverse wire fixation to intact metacarpals. Hand, 1973;5:43-48.
  • 13. Lamraski G, Monsaert A, De Maeseneer M, Haentjens P. Reliability and validity of plain radiographs to assess angulation of small finger metacarpal neck fractures: human cadaveric study. J Orthop Res, 2006;24:37-45.Article
  • 14. Leung YL, Beredjiklian PK, Monaghan BA, Bozentka DJ. Radiographic assessment of small finger metacarpal neck fractures. J Hand Surg Am, 2002;27:443-448.Article
  • 15. McKerrell J, Bowen V, Johnston G, Zondervan J. Boxer's fractures-conservative or operative management? J Trauma, 1987;27:486-490.Article
  • 16. Schädel-Höpfner M, Wild M, Windolf J, Linhart W. Antegrade intramedullary splinting or percutaneous retrograde crossed pinning for displaced neck fractures of the fifth metacarpal? Arch Orthop Trauma Surg, 2007;127:435-440.
  • 17. Theeuwen GA, Lemmens JA, van Niekerk JL. Conservative treatment of boxer's fracture: a retrospective analysis. Injury, 1991;22:394-396.Article
  • 18. Winter M, Balaguer T, Bessiére C, Carles M, Lebreton E. Surgical treatment of the boxer's fracture: transverse pinning versus intramedullary pinning. J Hand Surg Eur Vol, 2007;32:709-713.ArticlePDF
Fig. 1
(A) Preoperative anteroposterior and (B) oblique radiographs of the hand of a 30-year-old man, showing a 5th metacarpal neck fracture.
jkfs-25-317-g001.jpg
Fig. 2
(A) Postoperative anteroposterior and (B) oblique radiographs after fixation with K-wires.
jkfs-25-317-g002.jpg
Fig. 3
(A) Radiograph anteroposterior and (B) oblique views made 4 weeks postoperatively showing K-wire removal.
jkfs-25-317-g003.jpg

Figure & Data

REFERENCES

    Citations

    Citations to this article as recorded by  

      • Cite
        CITE
        export Copy Download
        Close
        Download Citation
        Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.
        Format:
        • RIS — For EndNote, ProCite, RefWorks, and most other reference management software
        • BibTeX — For JabRef, BibDesk, and other BibTeX-specific software
        Include:
        • Citation for the content below
        Treatment of 5th Metacarpal Neck Fracture Using Percutaneous Transverse Fixation with K-Wires
        J Korean Fract Soc. 2012;25(4):317-322.   Published online October 31, 2012
        DOI: https://doi.org/10.12671/jkfs.2012.25.4.317
        Close
      • XML DownloadXML Download
      Figure
      • 0
      • 1
      • 2
      We recommend
      Treatment of 5th Metacarpal Neck Fracture Using Percutaneous Transverse Fixation with K-Wires
      Image Image Image
      Fig. 1 (A) Preoperative anteroposterior and (B) oblique radiographs of the hand of a 30-year-old man, showing a 5th metacarpal neck fracture.
      Fig. 2 (A) Postoperative anteroposterior and (B) oblique radiographs after fixation with K-wires.
      Fig. 3 (A) Radiograph anteroposterior and (B) oblique views made 4 weeks postoperatively showing K-wire removal.

      Fig. 1

      Fig. 2

      Fig. 3

      Treatment of 5th Metacarpal Neck Fracture Using Percutaneous Transverse Fixation with K-Wires
      J Musculoskelet Trauma : Journal of Musculoskeletal Trauma
      © The Korean Fracture Society.
      Close layer
      TOP