Case Study: Use of the INnate Intramedullary Threaded Nail for Midshaft Transverse Fracture of the Fifth Metacarpal – Joseph Styron, MD, PhD

Case Presentation: Patient was a 74-year-old left-hand dominant male who sustained a midshaft, transverse fracture to his right fifth metacarpal when he fell from his electric bike while on vacation in Ireland. He was splinted in the emergency department and was told he would need surgery upon his return to the United States. The patient is a lifelong pianist and was extremely concerned about his ability to continue playing music after the accident. During his consultation in the United States two and a half weeks later, he continued to suffer from pain and tenderness, had swelling over the fifth metacarpal, and had some overlap of the small and ring fingers when making a fist. Stable fixation, alignment restoration of the metacarpal, and early range of motion (ROM) were desired to ensure the patient had the best chance to play piano again.