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Contents
  • Initial Treatment Steps
  • When Surgery is Needed
  • Post-Treatment Care

The Essential Guide to Treating Metacarpal Shaft Fractures!

The Essential Guide to Treating Metacarpal Shaft Fractures!

Why It Matters

Proper treatment of metacarpal shaft fractures is vital to restore hand function and prevent long-term issues. Let's explore the treatment options.
Contents
  • Initial Treatment Steps
  • When Surgery is Needed
  • Post-Treatment Care

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.
Procedures for treating metacarpal shaft fractures, including initial immobilization and surgical options for severe cases.

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.

FAQs

How are metacarpal fractures initially treated?

They are typically immobilized with splints like gutter or Burkhalter-type.

When is surgery required?

Surgery is needed for open fractures and significant angulation or shortening.

What follow-up care is necessary?

Regular X-rays and range of motion exercises post-immobilization.

Can athletes return to sports quickly?

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.
Discuss the best treatment options with Doctronic to ensure optimal recovery!
Additional References
  1. Kollitz KM, Hammert WC, Vedder NB, Huang JI. Metacarpal fractures: treatment and complications. Hand (N Y) 2014; 9:16.
  2. 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.