Diferencia entre revisiones de «Non-thumb metacarpal fracture»
m (Rossdonaldson1 moved page Non-thumb metacarpal fractures to Non-thumb metacarpal fracture) |
|||
| (No se muestra una edición intermedia del mismo usuario) | |||
| Línea 8: | Línea 8: | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
{{Hand and finger fractures DDX}} | {{Hand and finger fractures DDX}} | ||
==Evaluation== | |||
[[File:Neck Fracture of the Fourth Metacarpal Bone.png|thumb|Boxer's Fracture (4th metacarpal)]] | |||
[[File:Fractured5thMetacarpalHead2018.jpg|thumb|Boxer's Fracture (5th metacarpal)]] | |||
==Treatment== | ==Treatment== | ||
Revisión actual - 22:23 22 mar 2023
Types
- Non-thumb metacarpal fracture (head)
- Non-thumb metacarpal fracture (neck)
- Non-thumb metacarpal fracture (shaft)
- Non-thumb metacarpal fracture (base)
- Boxer's fracture
Differential Diagnosis
Hand and Finger Fracture Types
Evaluation
Treatment
General Fracture Management
- Acute pain management
- Open fractures require immediate IV antibiotics and urgent surgical washout
- Neurovascular compromise from fracture requires emergent reduction and/or orthopedic intervention
- Consider risk for compartment syndrome
Metacarpal Fracture (Post-Reduction) Goals
| Finger | Shaft Angulation (degrees) | Shaft Shortening (mm) | Neck Angulation (degrees) | Rotational Deformity |
| Index & Long Finger | 10-20 | 2-5 | 10-15 | None |
| Ring Finger | 30 | 2-5 | 30-40 | None |
| Little Finger | 40 | 2-5 | 50-60 | None |