eMedicine Specialties > Orthopedic Surgery > Hand & Upper Extremity
Metacarpal Fractures: Multimedia
Updated: Sep 2, 2009
Multimedia
![]() | Media file 1: AP radiograph of displaced 4th and 5th metacarpal fractures. |
![]() | Media file 2: Lateral radiograph of displaced 4th and 5th metacarpal fractures. |
![]() | Media file 3: Oblique radiograph of 4th and 5th metacarpal fractures. |
![]() | Media file 4: AP radiograph of 4th and 5th metacarpal fractures following intramedullary pinning. |
![]() | Media file 5: Lateral radiograph of 4th and 5th metacarpals following intramedullary pinning. |
![]() | Media file 6: Complex 2nd metacarpophalangeal (MCP) dislocation in skeletally immature patient; note position of finger and dimpling of skin on volar hand. |
![]() | Media file 7: Radiograph of complex 2nd metacarpophalangeal (MCP) dislocation in skeletally immature patient (same patient as in Image 6). |
More on Metacarpal Fractures |
| Overview: Metacarpal Fractures |
| Workup: Metacarpal Fractures |
| Treatment: Metacarpal Fractures |
| Follow-up: Metacarpal Fractures |
Multimedia: Metacarpal Fractures |
| References |
| Further Reading |
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References
Ozer K, Gillani S, Williams A, Peterson SL, Morgan S. Comparison of intramedullary nailing versus plate-screw fixation of extra-articular metacarpal fractures. J Hand Surg Am. Dec 2008;33(10):1724-31. [Medline].
Harris AR, Beckenbaugh RD, Nettrour JF, Rizzo M. Metacarpal neck fractures: results of treatment with traction reduction and cast immobilization. Hand (N Y). Jun 2009;4(2):161-4. [Medline].
Liporace FA, Kinchelow T, Gupta S, Kubiak EN, McDonnell M. Minifragment screw fixation of oblique metacarpal fractures: a biomechanical analysis of screw types and techniques. Hand (N Y). Dec 2008;3(4):311-5. [Medline].
Souer JS, Mudgal CS. Plate fixation in closed ipsilateral multiple metacarpal fractures. J Hand Surg Eur Vol. Dec 2008;33(6):740-4. [Medline].
Ashkenaze DM, Ruby LK. Metacarpal fractures and dislocations. Orthop Clin North Am. Jan 1992;23(1):19-33. [Medline].
Axelrod TS. Metacarpal Fractures. Hand Surgery Update 2. 1999:11-17.
de Jonge JJ, Kingma J, van der Lei B. Fractures of the metacarpals. A retrospective analysis of incidence and etiology and a review of the English-language literature. Injury. Aug 1994;25(6):365-9. [Medline].
Green DP, Butler TE. Fractures and dislocations in the hand. In: Rockwood and Green's Fractures in Adults. Vol 1. 4th ed. 1996:607-744.
Westbrook AP, Davis TR. An evaluation of a clinical method to assess malunion of little finger metacarpal fractures. J Hand Surg Eur Vol. Dec 2007;32(6):641-6. [Medline].
Tavassoli J, Ruland RT, Hogan CJ, Cannon DL. Three cast techniques for the treatment of extra-articular metacarpal fractures. Comparison of short-term outcomes and final fracture alignments. J Bone Joint Surg Am. Oct 2005;87(10):2196-201. [Medline].
Chin SH, Vedder NB. MOC-PSSM CME article: Metacarpal fractures. Plast Reconstr Surg. Jan 2008;121(1 Suppl):1-13. [Medline].
Al-Qattan MM, Al-Lazzam A. Long oblique/spiral mid-shaft metacarpal fractures of the fingers: treatment with cerclage wire fixation and immediate post-operative finger mobilisation in a wrist splint. J Hand Surg Eur Vol. Dec 2007;32(6):637-40. [Medline].
Drelich M, Godlewski P. Metacarpal fractures. Ortop Traumatol Rehabil. Jun 30 2004;6(3):331-5. [Medline].
Cornwall R. Finger metacarpal fractures and dislocations in children. Hand Clin. Feb 2006;22(1):1-10. [Medline].
Tun S, Sekiya JK, Goldstein SA, Jebson PJ. A comparative study of mini-external fixation systems used to treat unstable metacarpal fractures. Am J Orthop. Sep 2004;33(9):433-8. [Medline].
Galanakis I, Aligizakis A, Katonis P, Papadokostakis G, Stergiopoulos K, Hadjipavlou A. Treatment of closed unstable metacarpal fractures using percutaneous transverse fixation with Kirschner wires. J Trauma. Sep 2003;55(3):509-13. [Medline].
Jhass S. Fractures of the metacarpals - a new method of reduction and immobilization. J Bone Joint Surg. 1938;20 (1):178-186.
Dumont C, Fuchs M, Burchhardt H, Appelt D, Bohr S, Stürmer KM. Clinical results of absorbable plates for displaced metacarpal fractures. J Hand Surg [Am]. Apr 2007;32(4):491-6. [Medline].
Kurup HV. Re: Comparison between percutaneous transverse fixation and intramedullary K-wires in treating closed fractures of the metacarpal neck of the little finger. J Hand Surg Eur Vol. Jun 2007;32(3):363; author reply 363-4. [Medline].
Downing ND, Davis TR. Intramedullary fixation of unstable metacarpal fractures. Hand Clin. Aug 2006;22(3):269-77. [Medline].
Fusetti C, Meyer H, Borisch N, Stern R, Santa DD, Papaloïzos M. Complications of plate fixation in metacarpal fractures. J Trauma. Mar 2002;52(3):535-9. [Medline].
Maruyama T, Saha S, Mongiano DO. Metacarpal fracture fixation with absorbable polyglycolide rods and stainless steel K wires: a biomechanical comparison. J Biomed Mater Res. Spring 1996;33(1):9-12. [Medline].
Stern PJ. Fractures of the metacarpals and phalanges. In: Green's Operative Hand Surgery. Vol 1. 4th ed. 1999:711-71.
Further Reading
Related eMedicine topics
Malunion of Hand Fracture
Hand, Fracture and Dislocations: Thumb
Hand, Anatomy
Bennett Fracture
Rolando Fracture
Metacarpal Fracture and Dislocation
Hand, Metacarpal Fractures and Dislocations
Clinical guidelines
ACR Appropriateness Criteria® acute hand and wrist trauma. American College of Radiology - Medical Specialty Society. 1998 (revised 2008). 9 pages. NGC:006996
Clinical trials
Prolotherapy Versus Steroids for Thumb Carpo-metacarpal Joint Arthritis
Conservative Versus Operative Treatment of Displaced Neck Fractures of the Fifth Metacarpal
Keywords
metacarpal fracture, boxer's fracture, Bennett fracture, reverse Bennett's fracture, carpometacarpal dislocation, metacarpophalangeal dislocation














Multimedia: Metacarpal Fractures