Myung-Ho Kim; Moon-Jib Yoo; Jong-Pil Kim; Ju-Hong Lee; Jin-Won Lee

doi:10.12671/jkfs.2007.20.1.64

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Bouquet Pin Intramedullary Nail Technique of the 5th Metacarpal Neck Fractures: Myung-Ho Kim, M.D., Moon-Jib Yoo, M.D., Jong-Pil Kim, M.D., Ju-Hong Lee, Jin-Won Lee, M.D.; Journal of the Korean Fracture Society 2007;20(1):64-69.
DOI: https://doi.org/10.12671/jkfs.2007.20.1.64
Published online: June 14, 2016

Department of Orthopaedic Surgery, Dankook University College of Medicine, Cheonan, Korea.

Address reprint requests to: Jong-Pil Kim, M.D. Department of Orthopaedic Surgery, Dankook University College of Medicine, 16-5, Anseo-dong, Cheonan 330-715, Korea. Tel: 82-41-550-3919, Fax: 82-41-556-3238, kimjp@dankook.ac.kr

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Abstract
REFERENCES

Abstract

Purpose
To evaluate radiologic and clinical results of bouquet pin intramedullary nail technique for the 5th metacarpal neck fracture.
Materials and Methods
Between April, 2005 and February, 2006, 17 patients treated by bouquet pin intramedullary nail technique for the 5th metacarpal neck fracture were evaluated. All patients were reviewed clinically and radiologically after operation.
Results
All of 17 cases of fractures were completely united. In the anteroposterior radiographs, the average of preoperative angulation was corrected from 34.4° to 5.2°. Also, in the oblique radiographs, radiographic results of angulation correction were satisfactory which was corrected from 44.2° to 11.7°. Although, the averages of difference between postoperative and final follow-up angulations were 1.5° in the anteroposterior radiographs and 0.9° in the oblique radiographs, they were not statistically different. All patients were excellent clinically except 1 patient who has moderate joint stiffness after operation.
Conclusion
Selecting of appropriate patients who is indicated, bouquet pin intramedullary nail technique for the 5th metacarpal neck fracture could be a good treatment method without complications.
Key words: 5th metacarpal bone, Neck fracture, Bouquet pin, Intramedullary fixation

REFERENCES

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Fig. 1

Preparation for the entrance site of bouquet pin intramedullary nail technique. The exposure was carried out through a small incision at the ulnar aspect of the 5th metacarpal. Protecting dorsal cutaneous branch of ulnar nerve, a cortical window at the base of metacarpal was created (arrow).

Fig. 2

Configuration of prebent K-wire. A K-wire was prebent to control pin direction (A) and to facilitate correction of rotational deformity (B).

Fig. 3

(A) A 28-year old man sustained a 5th metacarpal neck fracture with 34° angulation deformity in anteroposterior radiograph and 54° angulation deformity in oblique radiograph.

(B) Postoperative radiographs show 0° and 14° residual angulation, respectively.

(C) A 5-month postoperative radiographs show good union without any reduction loss or rotational deformity.

Table 1

Grading the results of bouquet pin intramedullary nail technique of the 5th metacarpal neck fractures

From Kang et al.14) and Theeuwen et al.21)

Table 2

Radiographic angulations in patients with bouquet pin intramedullary nail technique of the 5th metacarpal neck fractures

Figure & Data

REFERENCES

Citations

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Bouquet Pin Intramedullary Nail Technique of the 5th Metacarpal Neck Fractures

J Korean Fract Soc. 2007;20(1):64-69. Published online January 31, 2007

DOI: https://doi.org/10.12671/jkfs.2007.20.1.64

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Bouquet Pin Intramedullary Nail Technique of the 5th Metacarpal Neck Fractures

Fig. 1 Preparation for the entrance site of bouquet pin intramedullary nail technique. The exposure was carried out through a small incision at the ulnar aspect of the 5th metacarpal. Protecting dorsal cutaneous branch of ulnar nerve, a cortical window at the base of metacarpal was created (arrow).

Fig. 2 Configuration of prebent K-wire. A K-wire was prebent to control pin direction (A) and to facilitate correction of rotational deformity (B).

Fig. 3 (A) A 28-year old man sustained a 5th metacarpal neck fracture with 34° angulation deformity in anteroposterior radiograph and 54° angulation deformity in oblique radiograph. (B) Postoperative radiographs show 0° and 14° residual angulation, respectively. (C) A 5-month postoperative radiographs show good union without any reduction loss or rotational deformity.

Fig. 1

Fig. 2

Fig. 3

Bouquet Pin Intramedullary Nail Technique of the 5th Metacarpal Neck Fractures

Table 1

Grading the results of bouquet pin intramedullary nail technique of the 5th metacarpal neck fractures

From Kang et al.14) and Theeuwen et al.21)

Table 2

Radiographic angulations in patients with bouquet pin intramedullary nail technique of the 5th metacarpal neck fractures

Table 1 Grading the results of bouquet pin intramedullary nail technique of the 5th metacarpal neck fractures

From Kang et al.14) and Theeuwen et al.21)

Table 2 Radiographic angulations in patients with bouquet pin intramedullary nail technique of the 5th metacarpal neck fractures