After the fifth metacarpal neck fracture bonesetting fixed position has exquisite

Guo Zhonghua Ningxia institute of traditional Chinese medicine

China's traditional Chinese medicine to

        Hand the fifth metacarpal neck fracture is also called the "boxing" bone, see more at teenagers, such as fist suddenly hit, hit the wall when the most likely to cause such damage, the mechanism of injury is metacarpal head hitting hard objects directly through conduction violence lead to weaknesses metacarpal neck fractures. For cross sectional or comminuted fracture, fracture due to the pull hand muscle between the bones, bone head to the volar tilt, fracture pushed backwards into a corner. Through the X-ray examination diagnosis is not difficult.

        In orthopedics outpatient service, this seemingly simple fracture, reset is not difficult, but fixed way has exquisite, i.e. the digit and nearly 90 ° of the interphalangeal joint lateral external fixation, through nearly section phalanx head back bone in basement, can keep a good position, but cannot simply be fixed into hand straight out. My experience, only in understanding the palm knuckles local anatomic basis, master certain fracture reduction and fixation technique, the fractures in palasy treatment effect is good.

        Reset methods for support with one hand shake hands palm, fingers hold proximal fractures, the other one hand refers to cancer, will be joint flexor to 90 °, make joint lateral collateral ligament is in nervous condition, the section near phalanx basal hold metacarpal head, traction corresponding finger first, and then along the longitudinal axis section near phalanx ejector, at the same time with the right hand thumb push bump, deformity correction.

        Method can be fixed in the following two methods of fixed habits according to medical treatment and doctors choose to use.

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