Non-thumb metacarpal fracture (head): Difference between revisions

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*[[Boxer's fracture]]
*[[Boxer's fracture]]


==Source==
==References==
<references/>
<references/>


[[Category:Orthopedics]]
[[Category:Orthopedics]]

Revision as of 15:58, 25 June 2016

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

See Also

References

  1. ↑ http://dx.doi.org/10.1016/j.jhsa.2008.04.010.
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