253. Bericht über 320 Frakturen der Metacarpalknochen

Research paper by P. Stanković, B. Junghans, Th. Tiling, A. Schmid

Indexed on: 01 Dec '83Published on: 01 Dec '83Published in: Langenbecks Archiv fur Chirurgie


Fifty percent of all fractures are of the fifth metacarpal bone, particularly the subcapital type. They can be divided into four zones: peripheral articular fracture, subcapital type, shaft fracture and central articular fracture, if exact repositioning can be achieved with minimal effort (e.g. percutaneous fixation with Kirschner wires), the hand may remain in the resting position in a cast for 3 or 4 weeks. The most frequent complications after conservative treatment are shortening and rotatory faults with a restriction of movement. Used in these methods of osteosynthesis are Kirschner wires, screws, plates, external fixation and osteoplasty.