International Journal of Orthopaedics Sciences

International Journal of Orthopaedics Sciences

2021, Volume 7 Issue 3

Metacarpal canal occlusion: A rare contraindication in intramedullary pinning

Author(s): Dr. Miodrag Vranjes, Dr. Mile Bjelobrk, Dr. Vladimir Losonci and Dr. Filip Pajicic
Abstract: 
Introduction: Intramedullary fixation with K-wires is one well-known surgical intervention for the management of metacarpal bone fractures. There are numerous papers dealing with metacarpal canal measurements but there is no research on anatomical occlusion. We used postero-anterior X-ray images to measure the frequency and the bone affected with metacarpal canal occlusion.
Materials and Methods: A total of 1000 subjects (564 male, 436 female) were included. The frequency of intramedullary canal occlusion from the second to fifth metacarpal where evaluated by age and gender.
Results: Subject age ranged from 18 to 88 years (male 28.8±6.7 years, female 32.6±7.3 years). Intramedullary canal occlusion was observed in 24 metacarpal bones of 21 subject. The second, third, and fourth intramedullary canal was occluded in 8, 7 and 9 metacarpal bones, respectivley.
Conclusion: MC intramedullary canal occlusion is a anatomical variation that is an absolute contraindication for intramedullary stabilization with K-wires. We recommend paying greater attention to these detail in specific age groups.

Pages: 92-95  |  128 Views  9 Downloads
How to cite this article:
Dr. Miodrag Vranjes, Dr. Mile Bjelobrk, Dr. Vladimir Losonci, Dr. Filip Pajicic. Metacarpal canal occlusion: A rare contraindication in intramedullary pinning. Int J Orthop Sci 2021;7(3):92-95. DOI: 10.22271/ortho.2021.v7.i3b.2731
International Journal of Orthopaedics Sciences