Best Practice Case Studies-Case 129 Asset 1 Metacarpal Fractures

Case 129 Asset 1 Metacarpal Fractures

Video Transcription

Video Summary

The video reviews how to assess metacarpal fracture stability on hand radiographs. A 15-year-old with a boxer’s fracture had a minimally displaced, mildly volar-angulated transverse fracture of the fifth metacarpal neck, which is relatively stable because transverse neck fractures of the fifth metacarpal can tolerate significant angulation. A second case showed a more unstable mildly displaced, comminuted intra-articular fracture of the fourth metacarpal base with shortening, plus an associated nondisplaced third metacarpal base fracture. Key stability factors include rotation, fracture pattern, angulation, and shortening.

Meta Tag

Edition 4th Edition

Related Case 4th Edition, Case 129

Topic Hand

Keywords

4th Edition

4th Edition, Case 129

Hand

metacarpal fracture

boxer’s fracture

hand radiographs

fracture stability

intra-articular fracture