A 34-year-old member asked:
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i fractured my 4th metacarpal a few days ago in basketball game. is surgery necessary?

1 doctor answer
Dr. Jeffrey Wint
34 years experience Hand Surgery
Metacarpal fractures: If non displaced or non angulated (bent) or not shortened don't typically need surgery. Surgery can be offered for excessive angualation, abnormal rotation that shows up a truly overlapped fingers or significant shortening that could change tendon mechanics . Open fractures also need to be washed out, especially grossly contaminated wounds with fractures.
Answered on Jan 23, 2014

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Related questions:

A 23-year-old female asked:
Dr. James Bicos
21 years experience Orthopedic Surgery
Depends: It depends on how the bone is set. For hands, you do not want any significant bending or twisting of the bone when it is set. I would make sure to s ... Read More
A 44-year-old member asked:
Dr. Steven Brown
38 years experience Hand Surgery
Unstable: Transverse fracture of 4th metacarpal tends to be unstable and difficult to stabilize with closed reduction and casting. It often requires open reduct ... Read More
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A 46-year-old member asked:
Dr. Steven Brown
38 years experience Hand Surgery
Yes: Transverse fractures are often unstable and require surgery to avoid displacement. especially if there is loss of metacarpal height. seek care with a ... Read More
A 29-year-old member asked:
Dr. Eon Shin
Dr. Eon Shin answered
19 years experience Hand Surgery
Plates or pins: Depending on the fracture pattern, surgical intervention usually involves a plate/screw construct or multiple wires. Plate fixation can help you mobil ... Read More

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