Metacarpal shaft and base fractures are defined by their location, pattern, and displacement:
Three types of metacarpal shaft fractures: transverse, oblique or spiral, and comminuted
T...
Direct blow versus indirect blow with rotational torque: Rotational torque often leads to spiral fractures.
Nerve injury or damage to the extensor tendon frequently is associated with ...
Once thorough neurovascular examination is complete, wrist or hematoma block may facilitate reduction if necessary.
Impaction fractures of the metacarpal bases that are not si...
Follow up 1 wk after injury with radiographs to evaluate for angulation, rotation, and shortening.
Splint/cast should remain in place for 3 to 4 wk minimum.
Rehabil...
Capo JT, Hastings H. Metacarpal and phalangeal fractures in athletes. Clin Sports Med. 1998;17(3):491–511.
Harrison BP, Hilliard MW. Emergency department evaluation and treatme...
Metacarpal fractures that are more distal and ulnar are better tolerated and are more amendable to nonoperative treatment.
Boxer’s fractures are metacarpal neck fractures involving the ...
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