The majority of metacarpal fractures can be treated conservatively.
Treatment options: fracture fixation with K-wires, interfragmentary screws, or mini plates. Deformities leading to functional impairment: severe angulation, shortening, or malrotation. Displaced fractures with a step-off of > 1 mm or subluxation/ dislocation of the CMC joint. Intraarticular fractures occupying > 25% of the articular surface. 5 th metacarpal fractures : ulnar gutter splint/cast or twin taping to the ring finger. 2 nd–4 th metacarpal fractures: palmar wrist splint/cast. 1 st metacarpal fractures: short-arm thumb spica splint. 4 weeks, depending on physical examination findings Mild deformity is often preferable to surgical treatment. Simple, closed, and stable metacarpal fractures. Ensure concomitant injuries and/or infections are also treated. See “ General fracture care” in “ General principles of fractures.”. Type IV metacarpal base fracture: a pediatric physeal fracture, most commonly a type II Salter-Harris fracture (see “ Pediatric fractures”). This content does not have an Arabic version. This content does not have an English version. Type III metacarpal base fracture: transverse or oblique fracture of the metacarpal base What are the signs and symptoms of a 5th metacarpal fracture If you have fractured your 5th metacarpal bone you may notice that the back of your hand and the. Carpal tunnel syndrome - Symptoms and causes - Mayo Clinic Learn more about the symptoms, diagnosis and treatment of this common nerve disorder affecting the hand and arm. The fragments often form a T- or Y-shaped pattern. Comminuted fracture of the metacarpal base. Type II metacarpal base fracture ( Rolando fracture). The 1 st metacarpal shaft fragment is radially and proximally dislocated by the pull of the abductor pollicis longus muscle. 
Two-part fracture of the metacarpal base.Type I metacarpal base fracture ( Bennett fracture-dislocation).Type of fracture: transverse, oblique, spiral, comminuted (see “ Fracture classification” in “ General principles of fractures”).A fracture of the 4 th or 5 th metacarpal neck is called a boxer's fracture because it is usually caused by a closed fist forcibly coming into contact with a solid surface.
Fractures of the metacarpal head, neck, base, and shaft.
0 kommentar(er)
