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Journal of Hand Surgery (British and European Volume)
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Fractures of the Fifth Metacarpal Neck: Is Reduction or Immobilisation Necessary?

D. J. FORD
M. S. ALI
W. M. STEEL

From the North Staffordshire Royal Infirmary, Stoke-on-Trent

Correspondence: D. J. Ford, F.R.C.S., Senior Registrar in Orthopaedics, North Staffordshire Royal Infirmary, Stoke-on-Trent, ST4 7NZ England.

Sixty two patients with fractures of the neck of the little finger metacarpal have been studied. Treatment consisted of unrestricted exercises without any splintage or attempts at reduction, irrespective of the degree of angulation of the fractures. Patients were reviewed at one or two-weekly intervals until movement had recovered and return to work was possible. One year after injury, patients were recalled for examination. Recovery was rapid with no long-term functional restriction, although 14% of patients noted minor cosmetic deformity.

Journal of Hand Surgery (British and European Volume), Vol. 14, No. 2, 165-167 (1989)
DOI: 10.1016/0266-7681(89)90119-8
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