Metacarpal Fracture and Dislocation Medication
- Author: David R Steinberg, MD; Chief Editor: Craig C Young, MD more...
The goals of pharmacotherapy in patients with metacarpal fractures and/or dislocations are to reduce morbidity and prevent complications.
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:
Related Medscape topics:
Resource CenterAdverse Drug Events Reporting
Resource CenterPain Management: Advanced Approaches to Chronic Pain Management
Resource CenterPain Management: Pharmacologic Approaches
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.
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.
Lambotte A. The Classic. Contribution to conservative surgery of the injured hand. By Dr. A. Lambotte. 1928. Clin Orthop Relat Res. 1987 Jan. 214:4-6. [Medline].
Stern PJ. Fractures of the metacarpals and phalanges. Green DP, Hotchkiss RN, Pederson WC, eds. Green’s Operative Hand Surgery. 4th ed. New York, NY: Churchill Livingstone; 1999. 711-71.
Gaheer RS, Ferdinand RD. Fracture dislocation of carpometacarpal joints: a missed injury. Orthopedics. 2011 May 18. 34(5):399. [Medline].
Brownlie C, Anderson D. Bennett fracture dislocation - review and management. Aust Fam Physician. 2011 Jun. 40(6):394-6. [Medline].
Yoshida R, Shah MA, Patterson RM, Buford WL Jr, Knighten J, Viegas SF. Anatomy and pathomechanics of ring and small finger carpometacarpal joint injuries. J Hand Surg [Am]. 2003 Nov. 28(6):1035-43. [Medline].
Lane CS. Detecting occult fractures of the metacarpal head: the Brewerton view. J Hand Surg [Am]. 1977 Mar. 2(2):131-3. [Medline].
Gedda KO, Moberg E. Open reduction and osteosynthesis of the so-called Bennett's fracture in the carpo-metacarpal joint of the thumb. Acta Orthop Scand. 1953. 22(3):249-57. [Medline].
Livesley PJ. The conservative management of Bennett's fracture-dislocation: a 26-year follow-up. J Hand Surg [Br]. 1990 Aug. 15(3):291-4. [Medline].
Chong AK, Chew WY. An isolated ring finger metacarpal shaft fracture?--beware an associated little finger carpometacarpal joint dislocation. J Hand Surg [Br]. 2004 Dec. 29(6):629-31. [Medline].
Moon SJ, Yang JW, Roh SY, Lee DC, Kim JS. Comparison between Intramedullary Nailing and Percutaneous K-Wire Fixation for Fractures in the Distal Third of the Metacarpal Bone. Arch Plast Surg. 2014 Nov. 41(6):768-72. [Medline]. [Full Text].
Burton RI, Eaton RG. Common hand injuries in the athlete. Orthop Clin North Am. 1973 Jul. 4(3):809-38. [Medline].
Burkhalter WE. Closed treatment of hand fractures. J Hand Surg [Am]. 1989 Mar. 14(2 pt 2):390-3. [Medline].
Jahss SA. Fractures of the metacarpals: a new method of reduction and immobilization. J Bone Joint Surg Am. 1938. 20:178-86. [Full Text].