Managing Metacarpal Base Fractures Without Surgery!
Published: Jun 05, 2024
Many metacarpal base fractures can heal without surgery. Discover the non-surgical treatments that can make a difference.
Contents
Initial Treatment Approaches
When a metacarpal base fracture occurs, initial treatment often involves splinting to immobilize the area. Dorsal and volar splints are commonly used, keeping the wrist in slight extension. Icing and elevating the hand help to reduce swelling.
Follow-Up and Monitoring
Patients with nondisplaced fractures should have follow-up visits to check for any changes. Repeat X-rays ensure that the position remains stable. If everything looks good, a short arm cast is applied for about four weeks.

Rehabilitation and Recovery
After cast removal, rehabilitation focuses on restoring wrist movement and grip strength. Home exercises might suffice, but occupational therapy can be considered if more help is needed.
Frequently Asked Questions
The first step is usually splinting and immobilizing the fracture.
A short arm cast is worn for about four weeks.
Yes, they ensure the fracture remains in position.
Rehabilitation aims to restore movement and strength.
The Bottom Line
Non-surgical management can be effective for many metacarpal base fractures.
References
- Burkhalter WE. Closed treatment of hand fractures. J Hand Surg Am 1989; 14:390.
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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