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ISSN 0185-3252 (Print)
Revista de la Asociación Médica del Centro Médico ABC

2017, Number 1

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An Med Asoc Med Hosp ABC 2017; 62 (1)

Fractures of the second through fifth metacarpals

Fernández VJM, Ayala GU, Domínguez CND

Language: Spanish
References: 14
Page: 10-14
PDF size: 790.29 Kb.


ABSTRACT

Introduction: Intra-articular fractures of the second through fifth metacarpal bases are uncommon injuries, maybe underreported and underdiagnosed. Failure to properly diagnose and treat these fractures can lead to debilitation. Objective: To analyze the correct diagnosis and treatment of CMC fractures and report the functional outcome of these patients. Material and methods: We performed a literature review and analyzed 33 files of patients treated for CMC fracture; we applied the Mayo Wrist Score to evaluate the functional outcome. Results: We found similar epidemiological results as in the literature and an excellent functional outcome, with an average of 86.29 in the Mayo Wrist Score. Discussion: As there are few large series of reports of these injuries, there is no consensus in the current literature on the most appropriate treatment for them. This article reviews the case reports and case series in the literature concerning intra-articular fractures of the bases of the second through fifth metacarpals and provides important diagnostic and management considerations for these injuries. Conclusions: The correct diagnosis and treatment of CMC fractures lead to a better functional outcome.


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