%0 Journal Article
%T Anatomic Assessment of K
%A Amy Speeckaert
%A Joel C. Klena
%A Louis C. Grandizio
%A Zach Kozick
%J HAND
%@ 1558-9455
%D 2018
%R 10.1177/1558944717691128
%X Background: The purpose of this cadaveric study is to evaluate the trajectory of percutaneous transverse Kirschner wire (K-wire) placement for fifth metacarpal fractures relative to the sagittal profile of the fifth metacarpal in order to develop a targeting strategy for the treatment of fifth metacarpal fractures. Methods: Using 12 unmatched fresh human upper limbs, we evaluated the trajectory of percutaneous transverse K-wire placement relative to the sagittal profile of the fifth metacarpal in order to develop a targeting strategy for treatment of fifth metacarpal fractures. The midpoint of the small and ring finger metacarpals in the sagittal plane was identified at 3 points. At each point, a K-wire was inserted from the small finger metacarpal into the midpoint of the ring finger metacarpal (¡°center-center¡± position). Results: The angle of the transverse K-wire relative to the table needed to achieve a center-center position averaged 20.8¡ă, 18.9¡ă, and 16.7¡ă for the proximal diaphysis, middiaphysis, and the collateral recess, respectively. Approximately 80% of transversely placed K-wires obtained purchase in the long finger metacarpal. Conclusions: These results can serve as a guide to help surgeons in the accurate placement of percutaneous K-wires for small finger metacarpal fractures and may aid in surgeon training
%K metacarpal fractures
%K transverse percutaneous K-wire fixation
%K trauma
%K cadaver
%U https://journals.sagepub.com/doi/full/10.1177/1558944717691128