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제5 중수골 경부 골절의 보존적 치료와 수술적 치료 결과의 비교

Other Titles
 Comparison between Operative and Conservative Treatment of the 5th Metacarpal Neck Fracture 
 강호정  ;  송계욱  ;  한수봉  ;  성승용  ;  박관규 
 Journal of the Korean Orthopaedic Association (대한정형외과학회지), Vol.39(2) : 203-209, 2004 
Journal Title
Journal of the Korean Orthopaedic Association(대한정형외과학회지)
Issue Date
The fifth Metacarpal ; Neck fracture ; Angulation ; Conservative treatment ; Operative treatment
Purpose: To evaluate the clinical results between conservative and operative treatments and to give guidelines in the treatment of angulated fifth metacarpal neck fracture. Materials and Methods: The 43 cases of fifth metacarpal neck fracture (25 operative cases, 18 conservative case) were reviewed. The functional and radiologic results between two groups were evaluated. Results: Both the operative group (preop.: 41.9°) and the conservative group (preop.: 39.7°) showed satisfactory results (operative group: 15.3°, conservative group: 24.1°) immediately after the correction. The maintenance of angulation correction was superior in operative group (15.7°) than in conservative group (34.2°), and patients’ subjective satisfactions were superior in operative group too. Depressed knuckle on dorsum of hand was more frequently observed in conservative group (38.9%) than operative group (4%). Functional result in both groups was good. Conclusion: Because the correction of angulation was not maintained well in conservative group and a large portion of complications often occurred in cases of angulation more than 40°, operative treatment is needed in cases of angulation of fractured site more than 40° in the fifth metacarpal neck fracture.
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1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Ho Jung(강호정) ORCID logo https://orcid.org/0000-0003-0273-1264
Sung, Seung Yong(성승용)
Hahn, Soo Bong(한수봉)
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