Contents
The Essential Guide to Treating Metacarpal Shaft Fractures!
Published: May 04, 2024
Proper treatment of metacarpal shaft fractures is vital to restore hand function and prevent long-term issues. Let's explore the treatment options.
Initial Treatment Steps
Before any reduction, it's crucial to clean any skin abrasions to prevent infection. Splints, like gutter or Burkhalter-type, are commonly used to immobilize the fracture initially. These splints help maintain the alignment and prevent further injury.
When Surgery is Needed
Surgical consultation is necessary for open fractures and those with nerve or vascular injuries. Fractures with significant angulation, malrotation, or shortening over 5 mm often require surgical intervention. Athletes seeking a quick return to sport may also benefit from operative fixation.
Post-Treatment Care
Follow-up care includes regular X-rays to ensure proper healing. Splints might be replaced with casts or orthoses as swelling decreases. Gentle range of motion exercises are encouraged once the immobilization period ends.
Frequently Asked Questions
They are typically immobilized with splints like gutter or Burkhalter-type.
Surgery is needed for open fractures and significant angulation or shortening.
Regular X-rays and range of motion exercises post-immobilization.
Yes, with surgical fixation, quick return is possible for some athletes.
Wrapping Up
Effective treatment of metacarpal shaft fractures ensures a quicker return to normal hand function.
References
- Kollitz KM, Hammert WC, Vedder NB, Huang JI. Metacarpal fractures: treatment and complications. Hand (N Y) 2014; 9:16.
- Soong M, Got C, Katarincic J. Ring and little finger metacarpal fractures: mechanisms, locations, and radiographic parameters. J Hand Surg Am 2010; 35:1256.
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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