Non-thumb metacarpal fracture (head): Difference between revisions
Neil.m.young (talk | contribs) (Text replacement - "Fx" to "fracture") |
Neil.m.young (talk | contribs) (Text replacement - "fx " to "fracture ") |
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*AP, lateral, oblique | *AP, lateral, oblique | ||
**Angulation assessed on lateral view | **Angulation assessed on lateral view | ||
*Consider "[[Brewerton view (X-Ray)]]" if collateral ligament avulsion | *Consider "[[Brewerton view (X-Ray)]]" if collateral ligament avulsion fracture suspected | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
| Line 21: | Line 21: | ||
==Disposition== | ==Disposition== | ||
*Almost always refer b/c are intraarticular and typically comminuted | *Almost always refer b/c are intraarticular and typically comminuted | ||
*Non-displaced | *Non-displaced fracture can be splinted for 2-3 weeks followed by ROM exercises | ||
==See Also== | ==See Also== | ||
Revision as of 05:49, 3 July 2016
Background
- Intra-articular fracture
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 fracture 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 fracture can be splinted for 2-3 weeks followed by ROM exercises