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Metacarpal Fracture and Dislocation Medication

  • Author: David R Steinberg, MD; Chief Editor: Craig C Young, MD  more...
Updated: Mar 10, 2015

Medication Summary

The goals of pharmacotherapy in patients with metacarpal fractures and/or dislocations are to reduce morbidity and prevent complications.



Class Summary

Pain control is essential to quality patient care. It ensures patient comfort, promotes pulmonary toilet, and enables physical therapy regimens. Many analgesics have sedating properties, which are beneficial for patients that have sustained injuries.

Related Medscape Reference topic:

Toxicity, Acetaminophen

Related Medscape topics:

Resource CenterAdverse Drug Events Reporting

Resource CenterPain Management: Advanced Approaches to Chronic Pain Management

Resource CenterPain Management: Pharmacologic Approaches

Acetaminophen and codeine (Tylenol with Codeine)


Combines the analgesic effects of centrally acting opium-derived alkaloid (codeine) and peripherally acting nonopioid analgesic (acetaminophen). Indicated for the treatment of mild to moderate pain.

Acetaminophen (Aspirin Free Anacin, Feverall, Tempra, Tylenol)


DOC for pain in patients who have documented hypersensitivity to aspirin or NSAIDs, who have upper GI disease, or who are taking oral anticoagulants.

Effective in relieving mild to moderate acute pain but has no peripheral anti-inflammatory effects. May be preferred in elderly patients because of reduced GI and renal adverse effects.

Contributor Information and Disclosures

David R Steinberg, MD Director of Hand Fellowship, Associate Professor, Department of Orthopedic Surgery, University of Pennsylvania Health System

David R Steinberg, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Society for Surgery of the Hand

Disclosure: Received nothing received, but have long-term ownership of public equities from Johnson & Johnson for none.

Specialty Editor Board

Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Received salary from Medscape for employment. for: Medscape.

Chief Editor

Craig C Young, MD Professor, Departments of Orthopedic Surgery and Community and Family Medicine, Medical Director of Sports Medicine, Medical College of Wisconsin

Craig C Young, MD is a member of the following medical societies: American Academy of Family Physicians, American College of Sports Medicine, American Medical Society for Sports Medicine, Phi Beta Kappa

Disclosure: Nothing to disclose.

Additional Contributors

Gerard A Malanga, MD Founder and Partner, New Jersey Sports Medicine, LLC and New Jersey Regenerative Institute; Director of Research, Atlantic Health; Clinical Professor, Department of Physical Medicine and Rehabilitation, University of Medicine and Dentistry of New Jersey-New Jersey Medical School; Fellow, American College of Sports Medicine

Gerard A Malanga, MD is a member of the following medical societies: Alpha Omega Alpha, American Institute of Ultrasound in Medicine, North American Spine Society, International Spine Intervention Society, American Academy of Physical Medicine and Rehabilitation, American College of Sports Medicine

Disclosure: Received honoraria from Cephalon for speaking and teaching; Received honoraria from Endo for speaking and teaching; Received honoraria from Genzyme for speaking and teaching; Received honoraria from Prostakan for speaking and teaching; Received consulting fee from Pfizer for speaking and teaching.

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Displaced fourth and fifth metacarpal fractures, anteroposterior view.
Displaced fourth and fifth metacarpal fractures, lateral view.
Fourth and fifth metacarpal fractures, oblique view.
Fourth and fifth metacarpal fractures after intramedullary pinning, anteroposterior view.
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