What type of splint is used for a 5th metacarpal fracture?
Fractures of the fifth metacarpal are the most common fractures in the hand [2], and most of them are treated conservatively via ulnar gutter splint (UGS) [5]. Closed treatment of these fractures with immobilization can lead to complications, such as malunion, extension lag, stiffness and reduced grip strength [5].
How do you break a 5th metacarpal?
In severe injuries, multiple metacarpals can be fractured. The fifth metacarpal (the one that attaches to the small finger) is especially susceptible to fracture when punching objects with a closed fist, hence the nickname “Boxer’s Fracture”.
How do you know if you broke your 5th metacarpal?
Symptoms of a metacarpal fracture usually include one or more of the following:
- Hand pain and tenderness to touch (over the back of the hand or palm)
- Hand swelling.
- Hand bruising.
- Hand pain / grinding when making a fist.
- Hand deformity (fingers may not line up normally when making a fist)
Does a broken 5th metacarpal need surgery?
Metacarpal fracture – undisplaced If your metacarpal fracture is stable and undisplaced (ie the fragments are still in their normal position) it is unlikely that you will need surgery. Your fracture can be treated with splinting, taping or casting (or a combination of all three of these).
What is the prognosis of metacarpal fractures?
Prognosis of the Fracture Most patients with a metacarpal fracture do not even require a cast for the injury to heal. Most patients make a full recovery in a relatively short period of time. Every patient’s prognosis is still handled on a case by case basis.
What do you need to know about metacarpal fracture?
Metacarpal fractures are generally described by the location of the fracture. Fractures in the center of the bone are called metacarpal shaft fractures. Fractures by the base of the finger at the knuckle are called metacarpal head fractures. Lastly, fractures at the wrist-end of the bone are called fractures of the base of the metacarpal. Nov 14 2019
How should metacarpal fractures be immobilized?
In this manner, how do you immobilize a metacarpal fracture? Immobilization and Splinting A gutter splint or cast should be used to immobilize a metacarpal fracture. This is often definitive management for fractures that meet acceptable radiographic parameters. A gutter splint may be modified based on the location of the injured finger.