Fifth metacarpal neck fracture: Non-locking mini plate vs Foucher pinning

Roujdi, Amine and Baba, Othmane and Andaloussi, Yasser El and Haddoun, Ahmed Reda and Bennouna, Driss and Fadili, Mustapha (2025) Fifth metacarpal neck fracture: Non-locking mini plate vs Foucher pinning. World Journal of Advanced Research and Reviews, 26 (1). pp. 1592-1595. ISSN 2581-9615

Fractures of the fifth metacarpal neck are common injuries that can result in functional impairments if not properly managed. Surgical intervention is indicated when flexion angulation exceeds 30°, or in cases of rotational deformities or shortening greater than 3 mm. This study aimed to evaluate the clinical and functional outcomes of two surgical techniques: intramedullary pinning and fixation with non-locking mini-plates. A total of 83 patients with fifth metacarpal neck fractures were included, with 61 treated by intramedullary pinning (Group I) and 22 by non-locking mini-plates (Group II). Outcomes were assessed using subjective parameters (pain, Disabilities of the Arm, Shoulder, and Hand [DASH] score) and objective measures (grip strength, range of motion, and radiographic alignment).