Thursday, August 15, 2024

Metacarpal Fracture

Metacarpal Fracture is a break in one of the five metacarpal bones in the hand, excluding Boxer's Fracture (which affects the 5th metacarpal).

Types:

1. Transverse fracture: straight across the bone
2. Oblique fracture: diagonal break
3. Comminuted fracture: bone breaks into multiple pieces
4. Displaced fracture: bone fragments move out of place

Causes:

1. Direct blow or trauma
2. Fall onto an outstretched hand
3. Sports injury
4. Osteoporosis or weakened bones

Symptoms:

1. Pain or tenderness
2. Swelling or bruising
3. Limited hand mobility
4. Deformity or crookedness
5. Difficulty gripping or grasping

Treatment:

1. Conservative management:
    - Immobilization (casting or splinting)
    - Pain management (medications)
    - Physical therapy
2. Surgical options:
    - Fracture reduction and fixation
    - Plate or screw fixation
    - Bone grafting

Recovery:

- 4-6 weeks for mild fractures
- 6-12 weeks for moderate fractures
- 3-6 months for severe fractures

Complications:

- Nonunion or delayed union
- Malunion or improper healing
- Arthritis or chronic pain
- Limited hand function or stiffness

Consult a hand surgeon, orthopedic specialist, or primary care physician for proper evaluation and treatment. Early intervention can help prevent further injury and promote optimal recovery.

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