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- W4200291220 abstract "The metacarpal bones make up the bony arch connecting the phalanges to the carpus and are one of the most commonly fractured bones in the hand. 1 Knowledge of the unique metacarpal anatomy, musculotendinous attachments, and surrounding neurovascular structures can allow surgeons to select the most effective and safe treatment individualized to each fracture. Several deforming forces act on the metacarpal head, neck, shaft, and base that lead to common patterns of displacement such as apex dorsal angulation and shortening. Special attention to thumb metacarpal base anatomy and common fracture patterns will lead to improved outcomes in these fractures. Nonoperative treatment is the mainstay for most metacarpal fractures, though many fixation options and approaches exist for fractures requiring surgical treatment. The ideal surgical treatment attains adequate alignment and stability while minimizing soft tissue disruption which can be accomplished with the use of percutaneous pinning, intramedullary devices, plates and screw constructs, and external fixators. When principles of metacarpal fracture management are followed, the outcomes are generally favorable with few complications. In this chapter, we will review the relevant anatomy, treatment options, surgical considerations, and outcomes of metacarpal fracture management." @default.
- W4200291220 created "2021-12-31" @default.
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- W4200291220 date "2022-01-01" @default.
- W4200291220 modified "2023-09-26" @default.
- W4200291220 title "Metacarpal Fractures" @default.
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- W4200291220 doi "https://doi.org/10.1016/b978-0-323-76180-2.00074-x" @default.
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