Current Management of Metacarpal Fractures

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Presentation transcript:

Current Management of Metacarpal Fractures Rafael Diaz-Garcia, MD, Jennifer F. Waljee, MD, MS Hand Clinics Volume 29, Issue 4, Pages 507-518 (November 2013) DOI: 10.1016/j.hcl.2013.09.004 Copyright © 2013 Elsevier Inc. Terms and Conditions

Fig. 1 The Jahss maneuver for reduction of metacarpal neck fractures. Arrows indicate direction of force applied across the digit. Hand Clinics 2013 29, 507-518DOI: (10.1016/j.hcl.2013.09.004) Copyright © 2013 Elsevier Inc. Terms and Conditions

Fig. 2 Percutaneous Kirschner (K)-wire fixation of a closed metacarpal neck fracture in a patient with a pseudoclaw deformity. (A) Preoperative. (B) Postoperative. Hand Clinics 2013 29, 507-518DOI: (10.1016/j.hcl.2013.09.004) Copyright © 2013 Elsevier Inc. Terms and Conditions

Fig. 3 Intramedullary nailing of a closed metacarpal neck fracture in a polytrauma patient. (A) Preoperative. (B) Postoperative. Hand Clinics 2013 29, 507-518DOI: (10.1016/j.hcl.2013.09.004) Copyright © 2013 Elsevier Inc. Terms and Conditions

Fig. 4 Lag-screw fixation of an oblique metacarpal shaft fracture in a polytrauma patient. (A) Preoperative. (B) Postoperative. Hand Clinics 2013 29, 507-518DOI: (10.1016/j.hcl.2013.09.004) Copyright © 2013 Elsevier Inc. Terms and Conditions

Fig. 5 Multiple metacarpal shaft fractures necessitate open reduction and internal fixation. (A) Preoperative. (B) Postoperative. Hand Clinics 2013 29, 507-518DOI: (10.1016/j.hcl.2013.09.004) Copyright © 2013 Elsevier Inc. Terms and Conditions

Fig. 6 Fracture at the base of the thumb metacarpal (Bennett fracture). Hand Clinics 2013 29, 507-518DOI: (10.1016/j.hcl.2013.09.004) Copyright © 2013 Elsevier Inc. Terms and Conditions

Fig. 7 Closed reduction and K-wire fixation of a fracture of thumb metacarpal base. (A) Preoperative. (B) Postoperative. Hand Clinics 2013 29, 507-518DOI: (10.1016/j.hcl.2013.09.004) Copyright © 2013 Elsevier Inc. Terms and Conditions