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Journal of Hand Surgery (European Volume)
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Articles

Surgical Treatment of the Boxer’s Fracture: Transverse Pinning Versus Intramedullary Pinning

M. WINTER
T. BALAGUER
C. BESSIÈRE
M. CARLES
E. LEBRETON

From the Department of Traumatology and Orthopaedic surgery, St Roch hospital, University Hospital of Nice, France, the Department of Plastic, Reconstructive and Hand Surgery, St Roch Hospital, University Hospital of Nice, France and the Department of Anesthesiology, Archet II Hospital, University Hospital of Nice, France

Correspondence: Dr Matthias Winter, Service de Traumatologie, PC medical 3ème D, Hôpital St Roch, 5 rue Pierre Dévoluy, 06000 NICE, France. Tel.: +33 620983981. E-mail:winter.m{at}chu-nice.fr,matthias.winter{at}infonie.fr.

The purpose of this study was to compare the surgical treatment of fractures of the little finger metacarpal neck, or "Boxer’s" fractures, by transverse pinning and intramedullary pinning. Thirty-six patients with fracture of the neck of the fifth metacarpal were included in a prospective comparative randomised study. A palmar splint was applied for 1 week after both procedures. Patients began physiotherapy three times per week for 30 days. The patients were evaluated clinically six times after surgery, up to the 90th day, with X-ray assessment on days 8, 45 and 90. The study showed that intramedullary pinning gave better functional outcomes than transverse pinning, although the former was more technically demanding.

Key Words: boxer’s fracture • metacarpal bone • transverse pinning • intramedullary pinning

Journal of Hand Surgery (European Volume), Vol. 32, No. 6, 709-713 (2007)
DOI: 10.1016/J.JHSE.2007.07.011
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