Babol University of Medical Sciences Caspian Journal of Surgery 3115-9087 1 2 2025 06 01 Comparative Analysis of Functional Outcomes Following Axial vs. Transverse Pinning in Boxer's Fractures 91 96 728379 10.22088/caspjs.2025.2059924.1012 EN Mobin Marzban Abbasabadi Student Research Committee, Babol University of Medical Sciences, Babol, Iran 0009-0001-0845-7924 Mehdi Tavassoli Clinical Research Development Unit of Shahid Beheshti Hospital, Babol University of Medical Sciences, Babol, IranSciences, Babol, Iran 0000-0001-7790-9237 Majid Khalilizad Daronkolai Department of Orthopedic, Shahid Beheshti Hospital, Babol University of Medical Sciences, Babol, Iran. 0000-0002-5711-0492 Journal Article 2025 06 12 Background:<br><br>Boxer's fractures, common injuries of the hand, often require surgical intervention. This study compares the outcomes of axial and transverse pinning techniques in fifth metacarpal fractures. The primary focus was on evaluating angular deformity in radiographic views and functional recovery, especially considering the needs of manual workers and athletes.<br><br>Methods:<br><br>In a cross-sectional study, 60 patients underwent surgical fixation using either axial or transverse pinning. Functional assessment was done via Total Active Motion (TAM) and the Iranian Quick DASH questionnaire. Radiographic evaluation included angular deformity and complications such as nonunion and malunion.<br><br>Results:<br><br>No significant differences were found between groups regarding TAM scores, Quick DASH results, or radiographic deformities (P > 0.05). Additionally, radiological outcomes for complications such as nonunion and malunion showed no statistically meaningful variation between the two techniques (all P> 0.05).<br><br>Conclusion:<br><br>Axial and transverse pinning methods provide similar functional and radiographic outcomes in Boxer's fractures, making both viable surgical options. Thus, both pinning techniques can be considered effective treatment options for these fractures. https://www.caspjs.com/article_728379_938913897d3475bd789963354dac4efd.pdf