Patient presents with left hand discomfort after a FOOSH type injury.
No prior surgeries, carcinoma or corticosteroid/opioid regimen reported.
What do you see?
The shaft of the left 5th MC shows a transversely oriented fracture line with impaction. No comminution is detected. Soft tissue swelling is present adjacent to the shaft.
The 5th. MCP and proximal CMC joint are normal.
The majority of MC fractures are simple, closed and stable with 5th. digit most commonly involved. (2)
Most 5th.MC shaft fractures have dorsal angulation – seen on radiographs -that can be clinically tolerated. Rotational deformity however, is poorly tolerated. Most 5th. MC shaft fractures have dorsal angulation – seen on radiographs -that can be clinically tolerated. Rotational deformity however, is poorly tolerated.
Plates provide the most rigid fixation. Surgical expertise, & knowledge of appropriate treatment options must be married to each patient presentation. (1)
- Hand (N Y). 2014 Mar; 9(1): 16–23.Published online 2013 Oct 16. doi: 10.1007/s11552-013-9562-1