Depends: A 4th metacarpal fracture is much more forgiving than a 2nd or 3rd. The 4th can accept more angulation without causing functional problems. The bigger problem is rotation of the digit from the fracture. Also, the location of the fracture on the metacarpal plays into the treatment plan. Therefore, your orthopedic surgeon may do nothing but watch it, straighten and pin it, or open and plate it.
Answered 3/20/2014
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Depends: If your fracture is only angulated a small amount the orthopedic doctor may only recommend a splint or cast for several more weeks. If it is very angulated or causes your fingers to cross over when you bend them surgery may be recommended to realign the bone.
Answered 3/21/2014
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Immobilazation.: Your orthopedic doctor will assess the angulation and displacement of the fracture. If it's in an acceptable position, then he/she may immobilize it with casting/splinting. If the alignment is unacceptable, or if he/she believes that it will not heal on its own, then surgical fixation may be required.
Answered 3/20/2014
4.3k views
Be seen: You would be best being seen much earlier than that, otherwise it will start to heal. A displaced metacarpal fracture is usually either treated with a reduction and splinting, or reduction and fixation with a pin or plate and screws.
Answered 5/17/2017
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