Managing Metacarpal Base Fractures Without Surgery!
Managing Metacarpal Base Fractures Without Surgery!
Why It Matters
Many metacarpal base fractures can heal without surgery. Discover the non-surgical treatments that can make a difference.
Contents
- Initial Treatment Approaches
- Follow-Up and Monitoring
- Rehabilitation and Recovery
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.
FAQs
What is the first step in treatment?
The first step is usually splinting and immobilizing the fracture.
How long is a cast worn?
A short arm cast is worn for about four weeks.
Are follow-up X-rays necessary?
Yes, they ensure the fracture remains in position.
What's the goal of rehabilitation?
Rehabilitation aims to restore movement and strength.
The Bottom Line
Non-surgical management can be effective for many metacarpal base fractures.
Additional 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.