Detailed Information

Cited 0 time in webofscience Cited 0 time in scopus
Metadata Downloads

Computed tomography-based analysis of the characteristics of fifth metacarpal neck fractures and its clinical applications

Authors
Kwak, Dong HeeSeung Min ShinHyun Jae RyooIn Cheul ChoiJong Woong Park
Issue Date
Jun-2023
Publisher
대한수부외과학회
Keywords
Metacarpal bones; Fracture fixation; Intramedullary; X-ray computed tomography
Citation
Archives of Hand and Microsurgery, v.28, no.2, pp 87 - 92
Pages
6
Indexed
KCI
Journal Title
Archives of Hand and Microsurgery
Volume
28
Number
2
Start Page
87
End Page
92
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2021.sw.kumedicine/63926
DOI
10.12790/ahm.23.0006
ISSN
2586-3290
Abstract
Purpose: Understanding the configuration and characteristics of the comminuted fifth metacarpal neck fractures is essential for successful operative treatment, especially for antegrade intramedullary Kirchner wire (K-wire) fixation. This study aimed to investigate the characteristics and shape of comminuted fragments in fifth metacarpal neck fractures and suggest the appropriate K-wire position. Methods: Forty-one cases of fifth metacarpal neck fractures operated from January 2010 to April 2022 were enrolled in this study. The length and width of the comminuted fragments were measured, as well as the distance from the articular surface of the fifth metacarpal head to the comminuted fragment (Da-c) and the distance from the articular surface to the proximal end of the metacarpal head (Da-h). The location of the comminuted fragments was categorized in terms of four quadrants: dorsal-ulnar (DU), dorsal-radial (DR), palmar-radial, and palmar-ulnar. Results: Among 41 patients with fifth metacarpal neck fractures, comminuted fracture fragments were observed in 35 cases (85.4%). The mean length and width of the comminuted fragments were 7.5±2.3 mm and 3.2±0.8 mm, respectively. The comminuted fragments were on the dorsal aspect of the fracture in all cases; 27 (77.1%) in the DU quadrant and 8 (22.9%) in the DR quadrant. The mean Da-c and Da-h were 5.3±1.6 mm and 10.9±1.5 mm, respectively. Conclusion: To ensure stable K-wire fixation, it is essential to identify the location and characteristics of the comminuted fracture fragments before surgery and subsequently choose an appropriate K-wire position.
Files in This Item
There are no files associated with this item.
Appears in
Collections
2. Clinical Science > Department of Orthopedic Surgery > 1. Journal Articles

qrcode

Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.

Related Researcher

Researcher Choi, In Cheul photo

Choi, In Cheul
Anam Hospital (Department of Orthopedic Surgery, Anam Hospital)
Read more

Altmetrics

Total Views & Downloads

BROWSE