Metacarpal fractures are common fractures in the hand that usually occur when a closed fist strikes an object.
Metacarpal fractures are very common in adults, with the fifth metacarpal (metacarpal of the pinky finger) being the most common fractures in the hand (aka “Boxer’s Fracture”); they usually occur when a closed fist strikes an object. These injuries are diagnosed through a combination of clinical examination and radiographs. Treatment depends on several factors including patient’s age, occupation, fracture location and pattern. If the fracture is nondisplaced, meaning the bone is still in anatomic alignment, it may be treated conservatively in a splint or cast. If the bones are displaced and able to be manipulated into a stable position, then a closed reduction and splinting would be appropriate. In this case, we would give local anesthesia in the office and push the bones into better alignment. The fracture would then be followed closely with serial x-rays to ensure that alignment has been maintained. Unstable or complex fractures usually require surgery with either closed reduction and percutaneous pinning or open reduction and internal fixation. Please refer to our “Treatments” section for more information.
As our patient, you will have an in-depth consultation with one of our doctors. We will create an individualized treatment plan together, tailored to your problem and lifestyle. Our doctors prefer non-invasive treatments whenever possible, including physical therapy and/or injections. If your problem ultimately does require surgery, our doctors prefer the least invasive surgical techniques possible. Our goals are the same as yours: to get you back to living your best life, pain free.