Transverse pinning versus intramedullary pinning in fifth metacarpal’s neck fractures: A randomized controlled study with patient-reported outcome

摘要

IntroductionThe 5th metacarpal fractures accounts for 38% of all hand fractures given that the neck is the weakest point in metacarpals, so neck fracture is the most common metacarpal fracture. Surgical fixation is also advocated for such fractures to prevent mal-rotation of the little finger which will lead to fingers overlap in a clenched fist. Various methods are available for fixation of such fractures, like intramedullary & transverse pinning. There are very few reports in the literature comparing both techniques.Authors wanted to compare outcomes and complications of transverse pinning versus intramedullary pinning in fifth metacarpal’s neck fractures.