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How Are Metacarpal Neck Fractures Treated?
Published: Sep 22, 2024
Metacarpal neck fractures need proper treatment to ensure healing and regain function. This article outlines the treatment options available for these fractures.
Initial Treatment Steps
The first step in treating a metacarpal neck fracture is immobilization, usually with a splint. This helps reduce swelling and keeps the bone in place. Applying ice and elevating the hand can also help during the first few days.
Closed Reduction Techniques
If the fracture is significantly angulated, a procedure called closed reduction is used to realign the bone. This involves applying pressure to the fracture site with the fingers flexed. Anesthesia is provided to minimize discomfort during the procedure.
When Surgery is Needed
Surgery may be necessary for open fractures, those with significant angulation, or if the fracture is unstable. A hand surgeon evaluates these cases to determine the best approach. Surgery aims to restore normal alignment and function of the hand.
Frequently Asked Questions
Immobilization with a splint.
For open or unstable fractures.
A technique to realign the bone.
Ice and elevation help reduce swelling.
The Bottom Line
Proper treatment is crucial for healing and restoring function in metacarpal neck fractures.
References
- Henry MH. Fractures and dislocations of the hand. In: Rockwood and Green's fractures in adults, 6th edition, Bucholz RW, Heckman JD, Court-Brown C (Eds), Lippincott, Williams & Wilkins, Philadelphia 2006. p.772.
- Meals C, Meals R. Hand fractures: a review of current treatment strategies. J Hand Surg Am 2013; 38:1021.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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