Non-thumb metacarpal fracture: Difference between revisions

Revision as of 08:15, 10 January 2015

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-==[[Non-thumb metacarpal fracture (head)]]==
+==Types==
-==[[Non-thumb metacarpal fracture (neck)]]==
+*[[Non-thumb metacarpal fracture (head)]]
-==[[Non-thumb metacarpal fracture (shaft)]]==
+*[[Non-thumb metacarpal fracture (neck)]]
-==[[Non-thumb metacarpal fracture (base)]]==
+*[[Non-thumb metacarpal fracture (shaft)]]
-===Examination===
+*[[Non-thumb metacarpal fracture (base)]]
-* Movement at the wrist elicits pain
+*[[Boxer's fracture]]
-* 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 fractures DDX}}
-===Treatment===
-* Dorsal and [[Forearm Volar Splint‎]] with the wrist in 30 deg of extension and MCP joints free
-===Dispo===
-* Refer for:
-** Intraarticular fx
-** Extraarticular fx with malrotation
-** Dislocation of metacarpal base CMC joint;
-** Ulnar nerve injury
-** 5th metacarpal base fx (typically require sx)
 ==See Also==
 *[[Hand and finger fractures]]
-*[[Boxer's fracture]]
 ==Source==