Intramedullary Cannulated Headless Screw Fixation of a Comminuted Subcapital Metacarpal Fracture: Case Report

This case report describes an alternative technique for the fixation of displaced comminuted subcapital fractures of the metacarpal with limited distal bone stock. Using a cannulated headless screw as an intramedullary device placed through the articular surface, we were able to secure proximal and distal bone purchase without excessive soft tissue stripping or disruption of the fracture hematoma. This technique allows early rehabilitation, and our patient went on to uneventful healing with excellent functional results. (J Hand Surg 2010; 35A:1260-1263. (C) 2010 Published by Elsevier Inc. on behalf of the American Society for Surgery of the Hand.)