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 ).
Depends. Depends on 1) which metacarpal and 2) the degree of displacement involving the angulation, rotation and shortening. You must be evaluated by an orthopedist for proper treatment options ranging from simple cast/brace to surgery.

Related Questions

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

if compliant. If you feel the splint is secure and rigid enough, immobilizing the 5th and sometimes 4th digits as well as extending above the wrist, and there is no angulation, displacement or rotation of the fracture fragment the the splint should be adequate. Read more...
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...

What to do if I get a spiral fracture in the metacarpals?

Goto the orthopedic. Surgeon he will take care of it for you. In the meanwhile if you have splint use it and do body taping of that finger to next finger. Read more...

What should I do about a spiral fracture of the metacarpal bone?

Meta Carpal Fracture. Spiral fractures are due to twisting injury to this bone. It typically heals in 3 weeks. It needs surgical fixation sometimes if it is displaced or angulated. Read more...
Spiral fracture. This is what it says a rotational force causes this. Problems may arise with rotation of the finger and overlap if it does not heal in the correct orientation leading to a proximal osteotomy later on. The picture sow some common nomenclature while it is of the femur here. Read more...
Treatment options. Include splinting, closed reduction of the fracture with or without pins, or open reduction of the fracture. Choice of treatment will depend upon how your finger is functioning. If the finger is not rotated or angulated, and the fracture is in a position to heal without intervention, then splint management is likely appropriate. Talk with a surgeon who specializes in treatment of hand injuries. Read more...

Risk of working out with spiral fracture metacarpal?

Depends. First, is the fx displaced or nondisplaced? Did it require any reduction? Let's assume it is a nondisplaced or minimally displaced fx. It is probably going to be hard to grip anything well with the involved hand especially if it is splinted. I would recommend sticking with legs and abdomen. You should be able to do most cardio except swimming. Read more...
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...

9wks ago I had a spiral fracture and fractured fibula. Cast for 3wks and boot for 6wks - no surgery. When will I be able to drive again please?

Fractured fib. Depends on which leg---and fracture healing by xray and return of foot function by exam.. Hard to press gas pedal or brake with boot on leg, even dangerous. Keep in mind, any car accident might be blamed on the boot, so get release from MD to drive. Read more...

Re:fibula spiral fracture at ankle: additionally, I have had no pain since break, and walking lightly since cast was put on, question is about a boot?

Talk to your Dr. It is best to talk to your doctor since they know the exact injury and stability of the fracture. Read more...
Cast now boot later. Is this being treated without surgery (ie a nondisplaced break)? Anyhow, if so usually is 6 weeks immobilized and non weightbearing to allow for healing and minimize the risk of displacement. I tend to not use the boot until after this initial 6 week period. For a very hairline type break i might allow a boot as long as i can trust the patient to keep it on near full time. Read more...