The metacarpal neck (distal metaphysis) is the aspect of the metacarpal shaft immediately underneath the metacarpal head.
The weakest point of the metacarpal is located at the distal ...
Axial load or direct trauma, often to clenched fist or dorsum of the hand
Immediate pain and swelling noted
Swelling and tenderness on the dorsum of the hand, often accompa...
Nonsteroidal anti-inflammatory drugs (NSAIDs) can be used along with ice for immediate analgesia.
Teeth marks can represent entry pathway for infection, especially if noted ad...
If splint used, fractures should remain splinted for a minimum of 3 to 4 wk.
Clinical healing is defined as no tenderness with palpation of the fracture site.
Once the splints are removed, ...
Must consider metacarpal neck fractures in any punching, striking, or axial load injury mechanism
Common complications include open bite wounds, malrotation, and significant fracture an...
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