Surgical technique | Closed reduction and Kirschner wire fixation of the fourth metacarpal fracture
Metacarpal fractures account for 60% of hand fractures. Direct violent injuries can lead to transverse metacarpal fractures, while indirect and torsional violence often lead to spiral or comminuted fractures. Most metacarpal fractures can be treated with closed reduction and plaster fixation. For patients with angulation > 30°, rotation > 5°, shortening > 5mm and difficulty […]