Treating Metacarpal Head Fractures: What Are Your Options?
Published: Nov 03, 2023
Treating metacarpal head fractures involves various approaches depending on the severity. Discover the best treatment options for these injuries.
Contents
Non-Surgical Treatments
For minor non-displaced fractures, a gutter splint is often used for immobilization. This allows the fracture to heal while preventing joint stiffness. Patients can start range of motion exercises after two to three weeks to avoid prolonged immobility, which can cause stiffness.
When Surgery is Needed
Surgical referral is crucial for fractures that are open, displaced, or involve vascular or nerve injuries. Most metacarpal head fractures are intraarticular and comminuted, often requiring surgical intervention. Early referral to a hand surgeon ensures proper management and reduces the risk of complications.
Managing Minor Avulsion Fractures
Minor avulsion fractures caused by collateral ligament injuries can sometimes be managed without surgery. If the fragments are small and not displaced beyond 3 mm, they can be treated conservatively. However, consultation with a healthcare provider is recommended before deciding on nonoperative management.
Frequently Asked Questions
Minor fractures are often treated with immobilization using a splint.
Surgery is needed for open, displaced, or complicated fractures.
Yes, if they are small and minimally displaced.
Key Takeaways
Understanding treatment options is key to recovering from metacarpal head fractures.
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References
Light TR, Bednar MS. Management of intra-articular fractures of the metacarpophalangeal joint. Hand Clin 1994; 10:303.
Cotterell IH, Richard MJ. Metacarpal and phalangeal fractures in athletes. Clin Sports Med 2015; 34:69.
Always discuss health information with your healthcare provider.