EAS Publisher | Contribution of Iselin Pinning in the Management of 1st Metacarpal Base Fractures

Contribution of Iselin Pinning in the Management of 1st Metacarpal Base Fractures

DOI : https://doi.org/10.36349/easjop.2024.v06i06.001

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Joint fractures of the base of the fifth metacarpal are rare injuries but they can cause serious complications if poorly managed, such as weak grip strength and wrist extension, decreased range of motion, osteoarthritis, tendon rupture, and carpal instability. We focus on two entities, Bennett and Rolando fractures regarding their mechanisms and tendency to instability. Their treatment remains a controversial subject. Through a series of 13 joint fractures of the base of the fifth metacarpal collected between December 2022 and June 2023 treated in the Orthopedic Department of Ibn Sina Hospital in Rabat, and a review of the literature, we review the data on anatomy, biomechanics, pathophysiology, diagnostic and therapeutic means and the prognosis of Bennett fractures by showing the benefit of osteosynthesis by Iselin double intermetacarpal pinning

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Lecturer, Dept. of Pharmacology and Therapeutics, Shaheed Monsur Ali Medical College & Hospital, Uttara, Dhaka-1230, Bangladesh

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