[Diagnosis and treatment of complications associated with closed multi-fractures in metacarpals].

OBJECTIVE

To pay attention to the diagnosis and treatment of the complications associated with closed multi-fractures in metacarpals.

METHODS

From 1997 to 2000, out of 382 patients with closed multi-fractures in metacarpals, 12 had complications. In 7 cases of fractures at the second, third, fourth and fifth metacarpal shaft, complicated by acute compartment syndrome in hand, compartmental fascia were incised for decompress; open reduction and internal fixation were performed. In 4 cases of fractures at the metacarpal base, complicated by acute carpal tunnel syndrome, the fracture was reduced and fixed without transection of the transverse carpal ligament. In 1 case of fracture at metacarpal base, complicated by direct contusion of the median nerve, the fracture was reduced without treatment of the median nerve.

RESULTS

All patients were followed up for 3 months. Fracture healed 4-6 weeks postoperatively. No claw deformity and dysfunction of the median nerve occurred. The arc of motion of the proximal interphalangeal and distal interphalangeal joints were normal.

CONCLUSION

During fracture reduction, we should pay attention to the complications associated with closed multi-fractures at metacarpal to decrease hand malfunction.