“Bouquet technique” for displaced boxers fracture: Surgical technique and outcomes in143 consecutive cases

  • Fayaz W Memon Asst. Professor, Grant Medical College and Sir J.J. group of Hospitals, Mumbai
  • Hemant Patankar Patankar Hand and limb Reconstruction Clinic, Mumbai
  • Abdul Malik Nagori Dr D.Y. Patil Medical College, Nerul, Navi Mumbai
Keywords: Boxers fracture, k-wire, bouquet technique, fifth metacarpal, outcomes


Background: Fifth metacarpal neck fractures, also known as Boxer’s fractures, commonly occur as a result of axial impact on a clenched fist. There is no agreement over the optimum management of undisplaced boxers fracture. We present the results of treatment by a Bouquet technique, described by Foucher in 143 consecutive cases of displaced fifth metacarpal neck fractures.

Methods: We retrospectively reviewed our records for 143 consecutive cases of fifth metacarpal neck fractures treated with Bouquet technique. Clinical and radiological evaluation was done at 6 weeks, 12 weeks and 6 months. Total active motion of the fifth digit, radiography and complications if any were noted.

Results: Of 143 cases, there were 113 cases with closed reduction and 30 with open reduction. Radiological union was achieved in 140 cases. Remaining 3 were lost to follow up. Good to excellent result was achieved in 95% cases. Seven cases developed bursitis at the K-wire entry site which required k-wire removal.

Conclusion: The technique of flexible antegrade intramedulary nailing of fifth metacarpal neck fractures is simple, safe, soft tissue sparing, minimally invasive technique giving excellent functional and cosmetic results with minimal complications.


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How to Cite
Memon F, Patankar H, Nagori A. “Bouquet technique” for displaced boxers fracture: Surgical technique and outcomes in143 consecutive cases. IJBR [Internet]. 29May2018 [cited 21Nov.2018];9(5):202-7. Available from: https://ssjournals.com/index.php/ijbr/article/view/4663
Original Research Articles