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Doctor insights on: Fractured Metacarpal Will Cast Depend Fracture

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I fractured my 5th metacarpal. How long will I need a cast? Does it depend on how bad the fracture is?

I fractured my 5th metacarpal. How long will I need a cast? Does it depend on how bad the fracture is?

Fracture Stability: A cast will likely be applied for a minimum of 3 weeks followed by transition to a splint. However, a variety of options are available and will depend on the stability of the fracture. ...Read more

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Dr. Scott Keith
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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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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I had three metacarpals fractured one almost broken all the way through and set in the cast one of my fingers has constant pain is this normal?

I had three metacarpals fractured one almost broken all the way through and set in the cast one of my fingers has constant pain is this normal?

Cast: It is normal to have pain with broken bones but if this pain is new you need to call your orthopedist. There may be a problem with the cast. Make sure you elevate your hand, rest it on pillows above the level of your heart. If this alleviates your pain, it may have just been due to swelling, if the pain persists you need to be seen. ...Read more

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I've been in a cast for two weeks for a non displaced metacarpal fracture (4th). Is there any way i could remove the cast in less than 4 weeks ?

I've been in a cast for two weeks for a non displaced metacarpal fracture (4th). Is there any way i could remove the cast in less than 4 weeks ?

Depends on the nat-: ture of the fracture. Also location. Proximal are more prone to displacement than distal. Also after2-3 wks the cast can be removed and the fx x-rays taken& the decision can be made to leave out or re-cast. Your ortho or hand surgeon makes the call not your impatience. Hang in there, the outcome is lifetime. . ...Read more

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Metacarpal spiral fracture -- cast or splint?

Metacarpal spiral fracture -- cast or splint?

Either one ma y be: Used. If the fracture is felt to be potentially unstable a cast may be more likley selected if it is felt that the full time presence of that cast vs. The tendency to remove a splint make a difference . The issue with spiral fractures is to check rotation by genty making a fist to make sure the finger is not rotated and needing of a reduction or surgery ( internal fixation ). ...Read more

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I got ahairline fracture in my 5th metacarpal, splint is enough in this type or i would prefer cast?

I got ahairline fracture in my 5th metacarpal, splint is enough in this type or i would prefer cast?

Ulnar gutter splint: Splint for 3-4 weeks okay if it immobilizes the joint above and below the fracture site. Your pcp or hand surgeon can ensure that you do not need manipulation and then will customize an ulnar gutter splint for you. ...Read more

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3rd and 4th metacarpals broken. have 1 screw for each of the broken bones. they used volar slab as a cast. it is possible to use ulnar gutter slab?

Hand fracture: Yes as long as the third and fourth metacarpals are protected an ulnar gutter splint would be fine and may be more comfortable ...Read more

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I have a nondisplaced fracture of the 4th metacarpal of my non-dominant hand. A small cast was placed. After 3 wks, it is still very painful. WNL?

I have a nondisplaced fracture of the 4th metacarpal of my non-dominant hand. A small cast was placed. After 3 wks, it is still very painful.  WNL?

Yes, most likely: Hand fractures are generally quite painful, but you are getting to the point where that pain should begin to diminish. Older adult women who are post menopausal do tend to heal more slowly, so be certain you are taking vitamin D, at least 2000 units a day, vitamin C, magnesium oxide and a good multivitamin. Talk with your doctor about medication for pain and follow up as planned. Heal up soon! ...Read more

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I ve 5th metacarpal neck fracture but able to move my fingers slightly even with the cast, is it ok to do that or the cast must completely immobilise.

I ve 5th metacarpal neck fracture but able to move my fingers slightly even with the cast, is it ok to do that or the cast must completely immobilise.

You're good: If they were so immobilized that none could move you might be very disappointed when the cast comes off and for all the feeling you'd have left in that hand you'd be able to keep sawing through the fingers as well without even feeling them.....'ya know what I mean? :) If you think there is tingling, extreme tightness, or pain in the fingers or hand then, you need to return to the ER. ...Read more

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My son plays baseball has a minor fracture in his 2nd metacarpal bone he's in a cast for 2 more weeks when can he start throwing again?

My son plays baseball has a minor fracture in his 2nd metacarpal bone he's in a cast for 2 more weeks when can he start throwing again?

Slow rehab : Please discuss his recovery with his orthopaedic surgeon. 3-6 weeks average. Slow and gradual return to activity and remember he has a long life ahead of him and needs to heal this completely before he resumes baseball activity. Sorry he is missing out but give him time to heal. Till then keep him active running, biking. See the AAOS.org website. Good luck ...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've had a meatcarpel fracture in small finger for 6 weeks. How many more weeks till it heels. I've had it in a cast and volar slab.?

I've had a meatcarpel fracture in small finger for 6 weeks. How many more weeks till it heels. I've had it in a cast and volar slab.?

4-6 weeks: Typically it takes 4-6 weeks to heal if it takes more than 6-8 weeks i'd be more concerned do you have a severely displaced fracture which is not healing? Might you need surgical fixation? ...Read more

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I fractured my metacarpal at the 2nd digit. What kind of surgery can fix this?

I fractured my metacarpal at the 2nd digit. What kind of surgery can fix this?

3: Open surgery w plates and screws or stainless pins (k wires) thru skin or manipulate and splint. ...Read more

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How long will a fractured wrist be in the cast?

How long will a fractured wrist be in the cast?

4-6 weeks: This depends on the fracture pattern and patient. Wrist fractures are commonly splinted for 7-10 days after injury to allow for swelling and then placed into a cast for 4 weeks. It is common to wear a removable brace for 2-4 weeks after the cast is removed. ...Read more

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Can a fractured foot heal without a cast?

Can a fractured foot heal without a cast?

Yes: It can heal but more than likely it will heal with extra bone formation. You might then have a bump in the area which may be problematic. Of course there is a good possibility of a painful nonunion where you would need a surgical procedure. ...Read more

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What should I expect for a fractured elbow cast being removed after three weeks?

What should I expect for a fractured elbow cast being removed after three weeks?

Elbow fracture: You will likely be very stiff after cast is removed. Elbow range-of-motion exercises with a trained physical therapist is probably appropriate. Make sure you are compliant with your treating doctor's recommendations as he/she will customize your treatment based on the fracture pattern and healing. ...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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Dr. Jeffrey Wint
2,299 doctors shared insights

Broken Bone (Definition)

Is it broken or fractured is a question I am often asked. The answer is basically that a broken or fractured bone is the same thing. A fracture means a break in the cortex or the strong layer of outer bone cells. In an adult the average time for that to heal varies greatly but is often considered to ...Read more


Dr. Raj Singh
234 doctors shared insights

Cast (Definition)

Children's bones will usually heal and remodel themselves, if they are kept in the correct position. Immobilization casts are one effective way to do this, while also protecting ...Read more