SURGICAL TREATMENT OF THE FIFTH METACARPAL FRACTURES. RETROSPECTIVE STUDY ABOUT 30 CASES
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). 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. The treatment was surgical in all our patients after closed reduction and percutaneous stabilization. The average age was 30 years old (extremes ranging from 17 to 45 years old). The etiology was dominated by punches in most cases. Surgical treatment addressed displaced fractures and unstable fractures while taking into consideration the patient's age, occupation, dominant hand and requirements. The series did not include any open fractures. The operation was performed in most cases under locoregional anesthesia. With postoperative analgesic immobilization. Self-rehabilitation was practiced in all our patients. Union of fractures was achieved in all the cases in our series. Pins were removed at the sixth week. The surgical treatment was satisfactory, our patients presented excellent clinical and radiological results.
Keywords: Fracture, Fifth Metacarpal, Foucher And Mitz-Vilain, Surgical Treatment