Non-thumb metacarpal fracture (head): Difference between revisions
(Created page with "==Background== *Intra-articular Fx ==Examination== *Swelling, decreased ROM, and TTP of MCP joint *Assess for rotational alignment (rotational malalignment is not tolerated)...") |
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*AP, lateral, oblique | *AP, lateral, oblique | ||
**Angulation assessed on lateral view | **Angulation assessed on lateral view | ||
*Consider "Brewerton" | *Consider "[[Brewerton view (X-Ray)]]" if collateral ligament avulsion fx suspected | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
Revision as of 13:38, 6 November 2015
Background
- Intra-articular Fx
Examination
- Swelling, decreased ROM, and TTP of MCP joint
- Assess for rotational alignment (rotational malalignment is not tolerated)
- Assess for skin integrity (r/o fight bite)
Imaging
- AP, lateral, oblique
- Angulation assessed on lateral view
- Consider "Brewerton view (X-Ray)" if collateral ligament avulsion fx suspected
Differential Diagnosis
Hand and Finger Fracture Types
Treatment
- Ulnar Gutter Splint or Short arm cast that extends to the PIP joint
- In a comparison of the typical 4th and 5th digit flexed at the MCP joint and a short arm, there was no significant benefit to the intrinsic plus position of the fingers[1]
Disposition
- Almost always refer b/c are intraarticular and typically comminuted
- Non-displaced fx can be splinted for 2-3 weeks followed by ROM exercises