Non-thumb metacarpal fracture: Difference between revisions
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==Differential Diagnosis== | ==Differential Diagnosis== | ||
{{Hand and finger fractures DDX}} | {{Hand and finger fractures DDX}} | ||
==Evaluation== | |||
[[File:Neck Fracture of the Fourth Metacarpal Bone.png|thumb|Boxer's Fracture (4th metacarpal)]] | |||
[[File:Fractured5thMetacarpalHead2018.jpg|thumb|Boxer's Fracture (5th metacarpal)]] | |||
==Treatment== | |||
{{General Fracture Management}} | |||
{{Metacarpal fracture goals}} | |||
==See Also== | ==See Also== | ||
Latest revision as of 22:23, 22 March 2023
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
Evaluation
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 |