Non-thumb metacarpal fracture (base): Difference between revisions
(Created page with "==Examination== * Movement at the wrist elicits pain * Assess for ulnar deficits (finger abduction/adduction) * Assess for rotational alignment ==Imaging== * AP, lateral, obl...") |
Ostermayer (talk | contribs) (Text replacement - "Category:Ortho" to "Category:Orthopedics") |
||
| Line 29: | Line 29: | ||
<references/> | <references/> | ||
[[Category: | [[Category:Orthopedics]] | ||
Revision as of 15:47, 22 March 2016
Examination
- Movement at the wrist elicits pain
- Assess for ulnar deficits (finger abduction/adduction)
- Assess for rotational alignment
Imaging
- AP, lateral, oblique
- 30 deg obliques pronated and supinated if usual films unable to visualize the MC bases
- Consider CT if index of suspicion high for occult fx despite "negative" plain films
Differential Diagnosis
Hand and Finger Fracture Types
Treatment
- Dorsal and Forearm Volar Splint with the wrist in 30 deg of extension and MCP joints free
Disposition
- Refer for:
- Intraarticular fx
- Extraarticular fx with malrotation
- Dislocation of metacarpal base CMC joint;
- Ulnar nerve injury
- 5th metacarpal base fx (typically require sx)