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A new radiographic classification of fifth distal metacarpal fractures

BACKGROUND: The fifth metacarpal fractures are the most common in all of hand fractures. To our knowledge, the classification of the fifth distal metacarpal bone fractures has not been studied. AIMS: The aim of this study was to describe a new classification system based on x-ray and to evaluate its...

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Autor principal: Şahin, Ertuğrul
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8244675/
https://www.ncbi.nlm.nih.gov/pubmed/34195920
http://dx.doi.org/10.1007/s11845-021-02684-2
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author Şahin, Ertuğrul
author_facet Şahin, Ertuğrul
author_sort Şahin, Ertuğrul
collection PubMed
description BACKGROUND: The fifth metacarpal fractures are the most common in all of hand fractures. To our knowledge, the classification of the fifth distal metacarpal bone fractures has not been studied. AIMS: The aim of this study was to describe a new classification system based on x-ray and to evaluate its reliability and reproducibility. MATERIAL AND METHODS: A total of 166 fifth distal metacarpal fractures were identified for classification and recorded. Two orthopedic surgeons reviewed and categorized them according to a newly designed classification. twice 1 month apart. Reliabilities of intra- and inter-observer were calculated with Spearman’s rho correlation coefficient. RESULTS: Mean values of inter and intra-observer reliability were excellent (p = 0.85) and substantial (p = 0.70), respectively. In 166 patients (163 males and 3 females), concerning the percentage of the distribution of fracture types, the most common type was Type I accounted for 81 (48.8%) followed by Type II 70 (42.2%), Type III 11 (6.6%), and Type IV 4 (2.4%). Type Ia was the most prevalent among all groups. CONCLUSION: This study represented a unique classification system for fractures of the distal part of the fifth metacarpal bone. Categorization in radiographs might provide ideas regarding the prognosis and clinical outcomes of fracture patterns. Therefore, this study could guide future investigations to determine the first-line treatment of fifth distal metacarpal fracture patterns using this classification and help form a common language among surgeons concerning their treatment options.
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spelling pubmed-82446752021-07-01 A new radiographic classification of fifth distal metacarpal fractures Şahin, Ertuğrul Ir J Med Sci Original Article BACKGROUND: The fifth metacarpal fractures are the most common in all of hand fractures. To our knowledge, the classification of the fifth distal metacarpal bone fractures has not been studied. AIMS: The aim of this study was to describe a new classification system based on x-ray and to evaluate its reliability and reproducibility. MATERIAL AND METHODS: A total of 166 fifth distal metacarpal fractures were identified for classification and recorded. Two orthopedic surgeons reviewed and categorized them according to a newly designed classification. twice 1 month apart. Reliabilities of intra- and inter-observer were calculated with Spearman’s rho correlation coefficient. RESULTS: Mean values of inter and intra-observer reliability were excellent (p = 0.85) and substantial (p = 0.70), respectively. In 166 patients (163 males and 3 females), concerning the percentage of the distribution of fracture types, the most common type was Type I accounted for 81 (48.8%) followed by Type II 70 (42.2%), Type III 11 (6.6%), and Type IV 4 (2.4%). Type Ia was the most prevalent among all groups. CONCLUSION: This study represented a unique classification system for fractures of the distal part of the fifth metacarpal bone. Categorization in radiographs might provide ideas regarding the prognosis and clinical outcomes of fracture patterns. Therefore, this study could guide future investigations to determine the first-line treatment of fifth distal metacarpal fracture patterns using this classification and help form a common language among surgeons concerning their treatment options. Springer International Publishing 2021-06-30 2022 /pmc/articles/PMC8244675/ /pubmed/34195920 http://dx.doi.org/10.1007/s11845-021-02684-2 Text en © Royal Academy of Medicine in Ireland 2021, corrected publication 2022Springer Nature or its licensor holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Original Article
Şahin, Ertuğrul
A new radiographic classification of fifth distal metacarpal fractures
title A new radiographic classification of fifth distal metacarpal fractures
title_full A new radiographic classification of fifth distal metacarpal fractures
title_fullStr A new radiographic classification of fifth distal metacarpal fractures
title_full_unstemmed A new radiographic classification of fifth distal metacarpal fractures
title_short A new radiographic classification of fifth distal metacarpal fractures
title_sort new radiographic classification of fifth distal metacarpal fractures
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8244675/
https://www.ncbi.nlm.nih.gov/pubmed/34195920
http://dx.doi.org/10.1007/s11845-021-02684-2
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