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Fracture of the metacarpal shaft

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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These may be:

  • transverse - from a direct blow
  • spiral - from a twisting force or punching

There is local pain and swelling, and sometimes, a dorsal "hump."

Undisplaced or slightly displaced fractures are treated symptomatically and may involve rest in a plaster slab for 1 or 2 weeks.

More severely displaced fractures should be reduced openly and fixed internally with Kirschner wires.


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The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

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