Percutaneous Transverse Pinning for A Rare Complicated Fracture Injury of the Second through Fifth Metacarpals - A Case Report

經皮橫向鋼釘內固定用於第二至第五掌骨複雜骨折－病例報告

陳俊宇(Chun-Yu Chen) ； 曾元生(Yuan-Sheng Tzeng) ； 吳建儒(Chien-Ju Wu)

《臺灣整形外科醫學會雜誌》 30卷2期 (2021/06) Pp. 88-94

摘要

Background: Closed metacarpal fractures involving the first to fifth metacarpals are very rare. Multiple metacarpal fractures are usually associated with significant soft tissue swelling. Early stable fixation and functional rehabilitation optimizes outcomes. Herein we present an easy way to treat such a complicated fracture to preserve the hand's aesthetic appearance and functionality. Materials and Methods: An 18-year-old man who was involved in a motorcycle accident experienced contusions to his left hand. Plain radiography indicated multiple closed metacarpal fractures involving the first to fifth metacarpals. We used percutaneous transverse pinning method for treatment in this case. Results: Plain radiograph showed fair union and alignment of the metacarpal bones. Good aesthetic and functional results have been observed after a 5-month follow-up. Conclusion: Percutaneous transverse pinning is an easy way to treat multiple closed contiguous metacarpal fractures.

關鍵字

closed ； multiple ； metacarpal ； fractures ； percutaneous transverse pinning

並列摘要

背景：同時合併第一至第五掌骨的封閉性骨折很少見，多發掌骨骨折通常會引起明顯的軟組織腫脹，盡早穩定的固定和功能復健可以改善預後。在此我們提出一種簡單的方法來處理這種複雜性骨折，以保留手部的美觀和功能。材料及方法：病患是一名18歲男子，因摩托車事故導致左手挫傷，X光片顯示第一至第五指多發性掌骨封閉性骨折。我們使用0.035英寸的K線鋼釘經皮橫向固定第二至第五掌骨。結果：在術後5個月追蹤的X光片上顯示良好的骨折復位和癒合，能夠完全伸展和完全屈曲，有美觀及良好的功能成果。結論：經皮橫向鋼釘內固定是治療多發性掌骨連續封閉性骨折的簡便方法，同時保有癒合和關節活動功能。我們的病例顯示即使使用簡單的內固定手術，也能夠有出色的結果。