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Journal of Hand Surgery (British and European Volume)
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Articles

Intra-Articular Fractures at the Base of the Fifth Metacarpal

A clinical and radiographical study of 64 cases

K. KJÆR-PETERSEN
A. G. JURIK
L. K. PETERSEN

From the University Departments of Orthopaedic Surgery and Diagnostic Radiology, University of Aarhus, Denmark

Correspondence: Klaus Kjær-Petersen, M.D., Drejøvænget 33, DK-8381 Mundelstrup, Denmark.

The treatment of 64 intra-articular fractures at the base of the fifth metacarpal was studied. 11 fractures with minimal displacement had been immobilised in a plaster cast without reduction. The position was improved in five of 25 fractures treated by closed reduction and a plaster cast, six of nine fractures after percutaneous pinning, and 12 of 19 fractures after open reduction and internal fixation. At follow-up after a median of 4.3 years, 19 of 50 patients answering a questionnaire had intermittent pain, especially on firm grip. 43 patients were re-examined clinically and radiographically: 21 (49%) had decreased grip power, and 28 had radiographical signs of osteoarthrosis.

Journal of Hand Surgery (British and European Volume), Vol. 17, No. 2, 144-147 (1992)
DOI: 10.1016/0266-7681(92)90075-D
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