Fifth metacarpal neck fracture: Non-locking mini plate vs Foucher pinning

Fractures of the fifth metacarpal neck are common injuries that can result in functional impairments if not properly managed. Surgical intervention is indicated when flexion angulation exceeds 30°, or in cases of rotational deformities or shortening greater than 3 mm. This study aimed to evaluate the clinical and functional outcomes of two surgical techniques: intramedullary pinning and fixation with non-locking mini-plates. A total of 83 patients with fifth metacarpal neck fractures were included, with 61 treated by intramedullary pinning (Group I) and 22 by non-locking mini-plates (Group II). Outcomes were assessed using subjective parameters (pain, Disabilities of the Arm, Shoulder, and Hand [DASH] score) and objective measures (grip strength, range of motion, and radiographic alignment).