Does Surgical Treatment have a Role in Simple Fifth Metacarpal Neck Fractures? A Comparative Retrospective Study

Abstract

Introduction

The fifth metacarpal neck fracture is a common injury, and the treatment of such injuries is still a matter of debate. It typically presents in young adults of working age and represents a significant burden for both the health services and the patient. The purpose of this study was to compare the results of operative and conservative treatment of this fracture.

Materials and Methods

A retrospective study of 60 patients with fifth metacarpal neck fracture was conducted. The sample was divided into two groups: patients treated operatively and non-operatively. The mean angulation in the different groups was compared using the t-test, and the variance achieved by manipulation or surgery was compared using the paired t-test. The QuickDash questionnaire was applied.

Results

The mean initial dorsal apex angulation was 53° in the surgical group and 45° in the conservative group. The mean angulation at discharge was 28° in the surgical group and 38° in the conservative group. The QuickDASH questionnaire results were similar between groups, with the surgically treated patients reporting more pain and less aesthetic satisfaction.

Conclusion

This study corroborates the growing evidence favoring expanding conservative treatment to most of these fractures.

Keywords

fifth metacarpal neck fracture - dorsal angulation - clinical outcomes - retrospective study

Publication History

Received: 07 October 2023

Accepted: 09 January 2025

Article published online:
21 July 2025

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