5th metacarpal fracture and "bone anchor"

Case contributed by Dr Andrew Dixon


Hand pain post trauma. Unknown mechanism of injury.

Patient Data

Age: 30 years
Gender: Male

Transverse fracture of the 5th metacarpal shaft with slight volar angulation. The patient is wearing a bracelet with an anchor shaped pendant. 

Case Discussion

Reasonably typical appearance of a 5th metacarpal fracture which usually occur as the result of punching an object or person. This x-ray is cute for the presence of an anchor projected over the bone which one might jokingly refer to as a "bone anchor". Clearly this one does not represent a surgical bone anchor used to fixate ligaments or tendons but instead is just a fashion accessory that the radiographer chose not to remove prior to imaging. 

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