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Doctor insights on: Fractured Metacarpal

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What are the signs that a fractured metacarpal needs reduction?

What are the signs that a fractured metacarpal needs reduction?

Rotational Deformity: The most common metacarpal fracture is that of the little finger. When you make a fist the contour of the knuckles may be different. A small depression is probably ok. Any change in rotation of the finger usually requires reduction. ...Read more

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Dr. Barbara Lavi
792 doctors shared insights

Fracture (Definition)

A fracture is a broken bone. As there is cartilage at the end of many bones at the joint, a fracture may also include a break in the cartilage. Fractures and broken bones are the same thing. It seems that many believe that a "fracture" is a lesser injury or an incomplete break in the bone, but this is not correct. Fractures may be displaced or ...Read more


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Risk of working out with spiral fracture metacarpal?

Risk of working out with spiral fracture metacarpal?

Take some time off: Bone needs astill environment to heal corectly thats what the casts are formetacarpalfrx can fail to heal or healcrooked working out wont help avoid these problems. ...Read more

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I had fracture metacarpal bone on the dorsal side, on the palmar no fracture.Now I re-break the bone on the same place after heeling 4months.I boxer?

I had fracture metacarpal bone on the dorsal side, on the palmar no fracture.Now I re-break the bone   on the same place after heeling 4months.I boxer?

Fracture: Whether the fracture is on the palmar or dorsal side it is still a fracture. The fact that you re fractured the same bone is not good. Make sure you see ortho to have fracture properly treated. May need to change training/fighting regimen to prevent recurrance. Good luck. ...Read more

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Can you still lift weights with a fractured 1st metacarpal?

Can you still lift weights with a fractured 1st metacarpal?

A bit risky: It depends on the type of fracture and method of treatment but in general i tell patients to let pain be your guide. You might consider focusing on core, legs, and back for a few weeks until your treating doctor gives you the thumbs up (yes pun intended :)). ...Read more

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When can you return to work with a fractured 5th metacarpal?

Depends: The answer depends on what you do andhow the fracture is treated. It usually takes 4-8 weeks for a fracture to heal so if you use your hand at work especially to lift or other heavy use of your hand you may be out of work for a while. ...Read more

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I recently fractured 2 metacarpals in my hand. One was reset and the other wasn't and is very stiff. Is this normal?

I recently fractured 2 metacarpals in my hand. One was reset and the other wasn't and is very stiff. Is this normal?

Yes: Metacarpal fractures can cause a lot of swelling depending on how they were broken. Proper splinting of the hand in the "safe or functional position" is important to minimize later stiffness. Once fractures have healed enough (usually around 3 weeks) hand therapy can be started to decrease swelling and improve range of motion and stiffness. If you can't make a fist you should get therapy. ...Read more

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Is it true that you get a much stronger bone after completely recovering from Boxer's Fracture (5th Metacarpal Fracture) ?

Is it true that you get a much stronger bone after completely recovering from Boxer's Fracture (5th Metacarpal Fracture) ?

Not really: the healing will required a calcification around the broken bone to stabileze it,and i guess it will make it strongmbut it will never be a stronger than a healthy bone.it will be strong enough to resume all the old activity,but not stronger,in my opinion. ...Read more

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Is it reasonable to leave fractured 5th metacarpals at joint with phalanges untreated. Happened 15 Nov. Doc failed nonsurgical procedure with splint.

Is it reasonable to leave fractured 5th metacarpals at joint with phalanges untreated. Happened 15 Nov. Doc failed  nonsurgical procedure with splint.

Probably okay: Sure, if the finger isn't terribly out of place or angulated. Google images for angulated finger, compare it to the other hand, if not severe then you might be okay. ...Read more

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After placing the metal plate on 5th metacarpal bone, How many months will it take to recover Boxer's Fracture (5th metacarpal) completely in order to go for metal plate removal (second surgery). ?

After placing the metal plate on 5th metacarpal bone, How many months will it take to recover Boxer's Fracture (5th metacarpal) completely in order to go for metal plate removal (second surgery). ?

6-8 weeks: most likely it take 6-8 weeks for the bone to heal. they might want to wait for at least three month before to decide to have it removed. check with the surgeon that put it there. they will let you know what they preferred. ...Read more

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I punched a wall a week ago. The doctor said i did not fracture my metacarpal. I'm still having a lot of pain and the extensor tendon curves sideways. What should I do?

I punched a wall a week ago. The doctor said i did not fracture my metacarpal. I'm still having a lot of pain and the extensor tendon curves sideways. What should I do?

X-ray: You may want to get an x-ray if you haven't already had one. If you punched the wall a week ago and are still having pain in spite of taking advil (ibuprofen) and oxycodone, then you certainly could have a fracture. ...Read more

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I fracture my metacarpal, index finger i went to the doctor they took X-ray they told me that they gave me medicine and told me I have to go with a specialist they put cast on one side and i was wondering do I have to go or could it heled itself?

I fracture my  metacarpal, index finger i went to the doctor they took X-ray they told me that they gave me medicine and told me I have to go with a specialist they put cast on one side and i was wondering do I have to go or could it heled itself?

While : While fractures of the small finger metacarpal are quite common and only rarely cause problems, this does not apply to the index finger. We divide the hand into 2 segments--a mobile unit with the ring and small finger and a "fixed" unit with the index and middle fingers. There is less "play" in the joints to the index and middle fingers and therefore they tolerate less deformity. It also takes a lot more energy to break the index finger metacarpal than the other ones. That said, you have a risk of healing in a shortened or rotated position that can affect grip strength or cause the fingers to overlap. A good hand surgeon will evaluate the clinical as well as radiographic deformity. That is--some deformity will not show up on the x-rays and may only show up by moving and examining the hand. You should definitely see a specialist for this particular injury. ...Read more

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I fractured my 4th metacarpal a few days ago in basketball game. Is surgery necessary?

I fractured my 4th metacarpal a few days ago in basketball game.  Is surgery necessary?

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. ...Read more

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I fractured my 5th metacarpal how long will I need cast?

I fractured my 5th metacarpal how long will I need cast?

It depend: Were the located, in the proximal end , the shaft or the distal end and if displaced or not , simple fracture take about 6 weeks. ...Read more

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It's only been 3 weeks since I fractured my first metacarpal. Dr. said he would remove my pins tomorrow. Too soon? Isn't 4-6 weeks better? Nervous!

Metacarpal fracture: Removing pins for a metacarpal fracture after 3 weeks may not be unreasonable, depending on the nature of the fracture. Typically pins are removed after 4-6 weeks. Let your surgeon know about your concerns. Keeping your pins in for another 7-10 days might make you more at ease and is unlikely to lead to any major problems ...Read more

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I fractured my third metacarpal 8 weeks ago, however xrays not showing progress in healing. Is this normal?

I fractured my third metacarpal 8 weeks ago, however xrays not showing progress in healing. Is this normal?

Nonunion: This is called a nonunion. Sometimes when a fracture does not heal the orthopedic doctors need to go in and do a surgery to pin it. Talk to your doctor about options. ...Read more

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Metacarpal fracture symptoms?

Metacarpal fracture symptoms?

Pain swelling &: Pain swelling and deformity at the level of the injured metacarpal. ...Read more

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Hows a 3rd metacarpal fracture fixed?

Hows a 3rd metacarpal fracture fixed?

See Hand surgeon: Hand fracture assessment and management is best done by a hand surgeon as s/he will be able to give you all the options and choose the best option for you. In general an isolated 3rd metacarpal fracture tends to displace the least and is the easiest to manage with a splint or cast as the adjacent intact bones support it. Other options include kwires, screws, plates etc. ...Read more

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