CURRENT CONCEPTS IN ADULTS UPPER EXTREMITY FRACTURES

21452Ugur_TiftikciCurrent_Consept_in_adults.kapak

METACARPAL FRACTURES: CLASSIFICATION AND TREATMENT OPTIONS

Yener Yoğun

Ankara Training and Research Hospital, Department of Orthopedics and Traumatology, Ankara, Türkiye

Yoğun Y. Metacarpal Fractures: Classification and Treatment Options. In: Tiftikçi U, Erdoğan E, Ergün C, Güneş Z, editors. Current Concepts in Adults Upper Extremity Fractures. 1st ed. Ankara: Türkiye Klinikleri; 2025. p.313-323.

ABSTRACT

Metacarpal fractures are common fractures and are mostly treated non-operatively. Excellent results are achieved with non-surgical treatments. Surgical treatment options are generally preferred for unstable fractures and fractures with finger rotation. Surgical treatment may vary depending on the shape of the fracture, location of the fracture, the patient’s expectations, and the surgeon’s preference. There is no consensus on which surgical technique to use in surgical treatment. Many surgical techniques have been described in the literature, from closed reduction percutaneous pinning techniques (antegrade or retrograde pinning, transverse pinning), to open reduction plate/screw fixation techniques, from intramedullary pinning to intramedullary screw (headless compression screw) or nail fixation. Joint movements should be started as early as possible after surgical treatments. Especially if open reduction and plate/screw fixation is planned, early motion is essential to ensure stable fixation and to prevent extensor tendon adhesion. This section aims to explain the approach to metacarpal fractures and treatment options in these fractures considering current knowledge.

Keywords: Bone wires; Conservative treatment; Fracture fixation; Intramedullary; Hand; Metacarpal bones

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