Base of fifth metacarpal fracture (MRI)

Case contributed by Bahman Rasuli
Diagnosis certain

Presentation

Hand trauma.

Patient Data

Age: 50 years
Gender: Female

Evidence of fracture with subjacent bone marrow edema /bruise at the base of the fifth metacarpal with intraarticular extension

Abnormal intrasubstance increased signal and surrounding edema along the course of extensor pollicis longus (EPL) when crossing the extensor carpi radialis longus (ECRL) and extensor carpi radialis brevis (ECRB) tendons.

Case Discussion

The fifth metacarpal base fracture usually occurs as a consequence of notable axial loading force to a flexed hand as noted in clenched fist injuries.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.