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KMID : 0621520150200040161
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Journal of the Korean Society for Surgery of the Hand
2015 Volume.20 No. 4 p.161 ~ p.167
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Modified Split Ulnar Gutter Splint for Treatment of Fifth Metacarpal Neck Fractures
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Gil Ho-Jin
Chung Yang-Guk
Shin Seung-Han
Kim Dong-Hyun
Kang Jin-Woo
Jeon Sang-Hyun
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Abstract
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Purpose: To evaluate radiological results of the modified split ulnar gutter splint for the fifth metacarpal neck fracture.
Methods: Between December 2008 and May 2014, 17 patients (18 cases) with fifth metacarpal neck fractures were managed with our modified split ulnar gutter splint. Radiological outcomes in oblique and lateral radiographs were evaluated. Mean immobilization period was 4.9 weeks (range, 4-7) weeks. Mean follow-up period was 17.1 week (range, 8-80 weeks).
Results: All of 18 fractures were completely united. The average of prereduction dorsal angulation, 27° in the oblique radiographs and 21° in the lateral radiographs, were corrected to 17° in the oblique radiographs and 10° in the lateral radiographs after closed reduction. At the last follow-up, they were 14° and 11° respectively. The mean difference of angulation deformity between in postreductionand final follow-up radiograms were 3° in the oblique radiographs and 1° in the lateral radiographs, which was not significantly different.
Conclusion: Immobilization using modified split ulnar gutter splint will be a reliable option for the fifth metacarpal neck fractures in selected patients, which will avoid the surgeries.
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KEYWORD
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Fifth metacarpal neck fracture, Closed reduction, Ulnar gutter splint
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