Lemé Cyril, Peras Matthieu, de Geofroy Bernard, Gaubert Lilian, Barbier Olivier
Service de Chirurgie Orthopédique et Traumatologique, HIA Sainte-Anne, 2 boulevard Sainte-Anne, 83000 Toulon, France.
Service de Chirurgie Orthopédique et Traumatologique, HIA Sainte-Anne, 2 boulevard Sainte-Anne, 83000 Toulon, France; IULS-University Institute for Locomotion and Sports, Pasteur 2 Hospital, Unité de Recherche Clinique Côte d'Azur (UR2CA), Hôpital Pasteur II, 30, voie Romaine, 06000 Nice, France.
Int J Surg Case Rep. 2025 Jul;132:111418. doi: 10.1016/j.ijscr.2025.111418. Epub 2025 May 17.
This paper reports the technique we used to treat a recurrent fracture of the neck of the 5th metacarpal with bending of the pin that was still present in the patient bone.
A 26-year-old soldier presents to the emergency department following a direct trauma on the right hand. This patient had already presented a similar trauma one year ago with a fracture of the 5th metacarpal neck treated by intramedullary pins according to Foucher technique's. X-rays showed a recurrent fracture of the 5th metacarpal neck with pins bended. It was decided to remove the material with a change of osteosynthesis technique by intramedullary screwing with a headless screw. This allowed a return to work and activities without restriction 6 weeks after surgery. CLINICAL DISCUSSION: to our knowledge this is the first publication dealing with management of recurrent fracture of 5th metacarpal neck. This technique provides excellent outcome and a low risk of complication.
This simple and original technique for revision osteosynthesis of a fracture the 5th metacarpal neck gives good short-term results and is interesting from a practical and functional point of view in the military patients.
本文报告了我们用于治疗一名第五掌骨颈复发性骨折患者的技术，该患者骨内仍留存弯曲的克氏针。
一名26岁士兵右手遭受直接创伤后就诊于急诊科。该患者一年前曾因第五掌骨颈骨折接受过福彻技术的髓内针治疗，此次为类似创伤。X线显示第五掌骨颈复发性骨折且克氏针弯曲。决定取出原有材料，并改用无头螺钉髓内固定的骨合成技术。术后6周患者即可恢复工作且活动不受限。
据我们所知，这是首篇关于第五掌骨颈复发性骨折治疗的文献。该技术疗效极佳且并发症风险低。
这种用于第五掌骨颈骨折翻修骨合成的简单且新颖的技术短期效果良好，从军事患者的实际和功能角度来看很有意义。
