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 non-displaced, 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 “Procedures” section for more information.
Every patient receives an in-depth consultation to devise a treatment plan that is right for their problem. Our specialists prefer non-operative and non-invasive treatments whenever possible, including physical therapy, medications, and/or injections. When we require surgery, we will then use minimally invasive surgical techniques to fix your problem, whether it is fixing a broken bone or repairing a tendon. Our goal is always to get you back to living your life normally as soon as possible.