4 doctors weighed in:

I broke my 1st metacarpal. Will I need a cast?

4 doctors weighed in
Dr. Barry Press
Surgery - Plastics
1 doctor agrees

In brief: Depends

If the fracture does not involve the joint at the base of the thumb metacarpal (i hope you are talking about the thumb!) you probably just need a cast or splint.
If it does involve the joint, you may need an operation, as misalignment of this joint surface will predispose you to early arthritis there.

In brief: Depends

If the fracture does not involve the joint at the base of the thumb metacarpal (i hope you are talking about the thumb!) you probably just need a cast or splint.
If it does involve the joint, you may need an operation, as misalignment of this joint surface will predispose you to early arthritis there.
Dr. Barry Press
Dr. Barry Press
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Dr. Raymond Raven
Surgery - Hand Surgery
1 doctor agrees

In brief: It depends...

Some metacarpal fractures are very stable and, if they are in a good position, can be treated in a removable brace or with buddy strapping.
Some fractures require more rigid immobilization such as a cast. Occasionally, fractures need to be set and if so, it is best to immobilize them in a cast for 3-4 weeks. Surgery is needed for fractures that can not be set or stabilized in the office.

In brief: It depends...

Some metacarpal fractures are very stable and, if they are in a good position, can be treated in a removable brace or with buddy strapping.
Some fractures require more rigid immobilization such as a cast. Occasionally, fractures need to be set and if so, it is best to immobilize them in a cast for 3-4 weeks. Surgery is needed for fractures that can not be set or stabilized in the office.
Dr. Raymond Raven
Dr. Raymond Raven
Thank
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