Isolated, extra-articular neck and shaft fractures of the 4th and 5th metacarpals: a comparison of transverse and bouquet (intra-medullary) pinning in 67 patients
Journal of Hand Surgery (European Volume), 06/01/2012
Sletten IN et al. – Due to the potential risk of a secondary fracture of the neighbouring metacarpal after transverse pinning, the authors recommend bouquet (intra–medullary) pinning. The authors also recommend burying wires beneath the skin surface to avoid infection.