Non-thumb metacarpal fracture: Difference between revisions
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==Treatment== | ==Treatment== | ||
{{General Fracture Management}} | |||
{{Metacarpal fracture goals}} | {{Metacarpal fracture goals}} | ||
Revision as of 02:51, 18 September 2019
Types
- Non-thumb metacarpal fracture (head)
- Non-thumb metacarpal fracture (neck)
- Non-thumb metacarpal fracture (shaft)
- Non-thumb metacarpal fracture (base)
- Boxer's fracture
Differential Diagnosis
Hand and Finger Fracture Types
Treatment
General Fracture Management
- Acute pain management
- Open fractures require immediate IV antibiotics and urgent surgical washout
- Neurovascular compromise from fracture requires emergent reduction and/or orthopedic intervention
- Consider risk for compartment syndrome
Metacarpal Fracture (Post-Reduction) Goals
| Finger | Shaft Angulation (degrees) | Shaft Shortening (mm) | Neck Angulation (degrees) | Rotational Deformity |
| Index & Long Finger | 10-20 | 2-5 | 10-15 | None |
| Ring Finger | 30 | 2-5 | 30-40 | None |
| Little Finger | 40 | 2-5 | 50-60 | None |