shaft

Metacarpal

 Fractures

 

1.  Neck of 5th Metacarpal

2.  Metacarpal Shaft

3.  Metacarpal Head

4.  Base of Metacarpal Fracture Dislocations

5.  MCPJ dislocations

 

1.  Neck of 5th Metacarpal Fracture

 

Non operative Management

 

Accept 45o angulation

- will have finger extensor lag, but will recover

Finger

 Incidence

 

1 / 1000 per year female

1.5 / 1000 per year male

 

Phalangeal fractures

- represent more than half of all hand fractures

 

Goals of Treatment

 

Restore normal function of the finger

 

1.  Restoration of bony anatomy

 

2.  Early motion

- inherent fracture stability

- splinting

- adequate internal fixation

- dynamic external fixation

 

Examination