![]() The surgical treatment was satisfactory, our patients presented excellent clinical and radiological results. Proximal fifth metatarsal fractures that are distal to the tuberosity have a. Minimally displaced (less than 3 mm) fractures of the second to fifth metatarsal shafts and fractures with less than 10 of dorsoplantar angulation in the absence of other injuries can generally. Union of fractures was achieved in all the cases in our series. Avulsion fractures of the proximal fifth metatarsal tuberosity can usually be managed with a soft dressing. Self-rehabilitation was practiced in all our patients. With postoperative analgesic immobilization. The fifth metacarpal neck fractures are usually stable, with apex dorsal angulation and shortening. The operation was performed in most cases under locoregional anesthesia. ![]() The series did not include any open fractures. The majority of metacarpal fractures are isolated injuries, which are simple, closed, and stable. Non-thumb metacarpals account for around 88 of all metacarpal fractures, with the fifth finger most commonly involved 19. Surgical treatment addressed displaced fractures and unstable fractures while taking into consideration the patient's age, occupation, dominant hand and requirements. Metacarpal fractures comprise between 18-44 of all hand fractures. The etiology was dominated by punches in most cases. The tendon of the powerful extensor carpi ulnaris muscle attaches on the ulnar aspect of the fifth metacarpal base, making it common for fractures at this site, particularly intra-articular fractures, to have a large fragment displaced in an ulnar and proximal direction. The average age was 30 years old (extremes ranging from 17 to 45 years old). Follow-up x-rays are obtained in clinic to evaluate how the fracture. The treatment was surgical in all our patients after closed reduction and percutaneous stabilization. Treatment in these cases is typically rest and protection in a cast or brace for 4-6 weeks. This required the surgeon to reset the bone in the. We present a retrospective study of 30 cases of fifth metacarpal fractures (the basal fracture excluded from our series) treated by percutaneous pinning according to the Foucher and Mitz-Vilain techniques over a period of 3 years between January 2019 and January 2022. Historically, metacarpal fractures that needed surgery were treated with pins also known as K-wires. The fractures of the fifth metacarpal is an extremely frequent traumatic pathology in hand surgery, the diagnosis is easy and is based on the clinical examination, confirmed by radiology, it is frequently observed in patients of male sex, most often affecting the dominant hand following a direct shock (punches).
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