Lixa João, Vital Luisa, Vieira Paula, Esteves Ana, Silva Miguel, Pinho André, Vidinha Vítor
Orthopaedics and Traumatology, São João University Hospital Center, Porto, PRT.
Orthopaedics and Traumatology, Centro Hospitalar do Tamega e Sousa (CHTS), Porto, PRT.
Cureus. 2024 Nov 11;16(11):e73439. doi: 10.7759/cureus.73439. eCollection 2024 Nov.
Introduction The fifth metacarpal neck fracture is a common injury, and the treatment of such injuries is still a matter of debate. It typically presents in young adults of working age, and it represents a significant burden for both the health services and the patient. The purpose of this study was to compare the results of operative and conservative treatment of this fracture. Materials and methods A retrospective study of 60 patients with a fifth metacarpal neck fracture was conducted. The sample was divided into two groups: patients treated operatively and non-operatively. The mean angulation in the different groups was compared using the t-test, and the variance achieved by manipulation or surgery was compared using the paired t-test. The QuickDash questionnaire was applied. Results The mean initial dorsal apex angulation was 53° in the surgical group and 45° in the conservative group. The mean angulation at discharge was 28° in the surgical group and 38° in the conservative group. The QuickDASH questionnaire results were similar between groups, with the surgically treated patients reporting more pain and less aesthetic satisfaction. Conclusion This study corroborates the growing evidence favoring expanding conservative treatment to most of these fractures.
引言 第五掌骨颈骨折是一种常见损伤，此类损伤的治疗仍存在争议。它通常发生在工作年龄段的年轻人中，对医疗服务机构和患者来说都是一项重大负担。本研究的目的是比较该骨折手术治疗和保守治疗的结果。
材料与方法 对60例第五掌骨颈骨折患者进行了回顾性研究。样本分为两组：手术治疗患者和非手术治疗患者。使用t检验比较不同组的平均成角情况，使用配对t检验比较手法复位或手术所达到的方差。应用了QuickDash问卷。
结果 手术组初始背侧顶点平均成角为53°，保守组为45°。出院时手术组平均成角为28°，保守组为38°。两组间QuickDASH问卷结果相似，手术治疗的患者报告疼痛更多，美学满意度更低。
结论 本研究证实了越来越多的证据支持将保守治疗扩展至大多数此类骨折。
