Master the surgical treatment of fifth metacarpal neck fractures, known as "boxer's fracture," especially when angulation exceeds 40 degrees. This training offers a technical immersion in reduction and fixation with a double-compression screw, using a minimally invasive approach to optimize patient recovery.

Training Focus:

• Treatment of fifth metacarpal neck fractures with angulation greater than 40 degrees.
• Double-compression screw fixation technique.
• Minimally invasive surgical approach.
• Preoperative planning based on radiographs.
• Precise guidewire insertion and bone drilling.

Detailed Content:

• Radiographic Evaluation and Precise Planning: Learn to interpret radiographs to identify the surgical indication. Master preoperative markings with a surgical marker, aligning them with the fifth metacarpal shaft in anteroposterior (AP) and lateral projections to guide the guidewire direction.
• Strategic and Minimally Invasive Surgical Access: Develop the skill of performing a transverse skin incision of approximately 1.5 cm, perpendicular to the direction of the fifth finger extensor tendon. Understand the importance of blunt dissection, using Metzenbaum scissors without sharp tips, along the tendon fibers to minimize tissue trauma.
• Optimized Guidewire Insertion: Learn how to insert the guidewire based on preoperative markings, ensuring precise alignment in anteroposterior, lateral, and oblique projections.
• Measurement and Directed Drilling: Learn to perform precise measurement to determine the appropriate screw size after confirming guidewire positioning, and perform drilling directly over the guidewire.
• Double-Compression Screw Insertion: Master the technique of inserting the double-compression screw through the guidewire, following guidelines established in manuals such as those from the AO.
• Final Confirmation and Accelerated Recovery: Understand the criteria for final confirmation of the reduced fracture and the extra-articularly positioned screw. The minimally invasive technique ensures very satisfactory recovery, avoiding extensive skin incisions and more aggressive approaches, with skin closure performed with only two stitches.

Included Material:

• Detailed Technical PDF: A complete didactic document describing the surgical procedure for treating fifth metacarpal neck fractures, from initial radiographic evaluation to surgical closure.

Enhance your hand surgery skills. Enroll now and master advanced techniques in the treatment of boxer's fracture, ensuring precise results and optimized recovery for your patients.