Journal of Hand Surgery
Volume 35, Issue 8 , Pages 1260-1263, August 2010

Intramedullary Cannulated Headless Screw Fixation of a Comminuted Subcapital Metacarpal Fracture: Case Report

Harvard Combined Orthopaedic Residency Program and the Department of Orthopaedic Surgery, Harvard Medical School, Orthopaedic Hand Service, Massachusetts General Hospital, Boston, MA

Received 1 October 2009; accepted 28 April 2010. published online 09 July 2010.

This case report describes an alternative technique for the fixation of displaced comminuted subcapital fractures of the metacarpal with limited distal bone stock. Using a cannulated headless screw as an intramedullary device placed through the articular surface, we were able to secure proximal and distal bone purchase without excessive soft tissue stripping or disruption of the fracture hematoma. This technique allows early rehabilitation, and our patient went on to uneventful healing with excellent functional results.

Key words: Fixation, fracture, intramedullary, metacarpal, subcapital

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 No benefits in any form have been received or will be received related directly or indirectly to the subject of this article.

PII: S0363-5023(10)00517-4

doi:10.1016/j.jhsa.2010.04.032

Journal of Hand Surgery
Volume 35, Issue 8 , Pages 1260-1263, August 2010

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