Conservative or Operative Treatment of Fractures in the Neck of the 5th Metacarpal Bone

Conservative Treatment Versus Operative Treatment of Extra-articular Fractures in the Neck of the 5th Metacarpal Bone- A Prospective Randomized Trial

A multi-site randomized controlled trial where patients are allocated to operative treatment or conservative treatment of fractures of the neck of the 5th metacarpal bone. The study goal is to identify which degree of angular displacement in the fracture that requires operative intervention.

Inclusion Criteria:

• Patients over 18 years of age with fractures of the neck of the 5th metacarpal bone

Exclusion Criteria:

• Less than 30 degrees of volar angulation in the fracture
• rotational deformity
• pseudoclawing
• intra-articular involvement
• ad latus displacement more than one half of a bone width
• concomitant fractures or soft tissue damage
• admittance more than 14 days after injury
• non-compliant patient (language, drugs, tourist)
• patient who refuses to participate in the study