Non-thumb metacarpal fracture (base): Difference between revisions
Neil.m.young (talk | contribs) (Text replacement - "fx " to "fracture ") |
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{{Hand and finger fractures DDX}} | {{Hand and finger fractures DDX}} | ||
== | ==Management== | ||
* Dorsal and [[Forearm Volar Splint]] with the wrist in 30 deg of extension and MCP joints free | * Dorsal and [[Forearm Volar Splint]] with the wrist in 30 deg of extension and MCP joints free | ||
Revision as of 22:13, 7 July 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 fracture despite "negative" plain films
Differential Diagnosis
Hand and Finger Fracture Types
Management
- Dorsal and Forearm Volar Splint with the wrist in 30 deg of extension and MCP joints free
Disposition
- Refer for:
- Intraarticular fx
- Extraarticular fracture with malrotation
- Dislocation of metacarpal base CMC joint;
- Ulnar nerve injury
- 5th metacarpal base fracture (typically require sx)