Complete union was achieved by locking plate. (M, N) Multiple comminuted metacarpal fractures. Plate fixation for the 2nd metacarpal bone, 3 lag screws for the 3rd metacarpal bone, and intramedullary nailing for the 4th metacarpal bone were used for each fracture. (K, L) Multiple metacarpal shaft fractures were noted. Transverse K-wire fixation was performed to the adjacent intact 4th metacarpal bone shaft. (I, J) Angulated and comminuted 5th metacarpal neck fracture. Boxers Fracture a fracture of the 5th metacarpal neck, which typically occurs from a clenched fist striking a hard surface (such as a wall) these are. Intramedullary nailing with bouquet technique was performed. An impact injury, such as a fall or blow to the hand, is usually the cause of a metacarpal fracture. A metacarpal fracture affects one or more of the five metacarpal bones that run from the wrist ( carpal ) bones to the knuckles. A fractured (broken) metacarpal is a common injury of the hand. (G, H) Angulated and comminuted 5th metacarpal neck fracture. A break of the bones between the wrist and knuckles. ![]() Intramedullary nailing was performed at the 2, 3, and 5th metacarpal neck fracture. (E, F) Multiple metacarpal neck fractures. One headless screw and 1 miniscrew were used for fixation. (C, D) A displaced, comminuted 2nd metacarpal head fracture. Closed reduction and K-wire fixation was performed. (A, B) A proximal phalanx collateral ligament avulsion fracture was observed. Keywords: Finger injury, Fracture, Dislocation, ComplicationĮxample of metacarpal fracture treatments. Neurovascular compromise from fracture requires emergent reduction and/or orthopedic intervention. Finally, it is also important that the patient to know that swelling, stiffness, and pain may last for a long period of time until the recovery of fractures and dislocation of the hand. Open fractures require immediate IV antibiotics and urgent surgical washout. A Rolando fracture is similar to a Bennett fracture, except that instead of a clean break, the bone is shattered into several pieces. Successful outcome requires effort to prevent any potential complication including nerve hypersensitivity and infection. A Bennett fracture is a fracture at the base of the thumb metacarpal involving the CMC joint, resulting in a clean break with a sizeable piece of bone broken off. In addition, surgeons should keep in mind that as the surgical intervention is done aggressively, aggressive rehabilitation must be followed in correspondence with the surgical intervention. Stable injuries can be fixed with splintage whereas surgery is actively considered for unstable injuries. Such fractures and dislocation of the hand should be treated in the context of stability and flexibility and tailored treatment is required in order to achieve the most optimal functional performance in each patient since deformation may occur if not treated, stiffness may occur with unnecessarily excessive treatment, and both deformation and stiffness may occur coincidently with inappropriate treatment. ![]() Fractures and dislocation of the hand is a body injury involving complex structures and multiple functions, which frequently occur as they represent 10%-30% of all fractures.
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