Base of fourth and fifth metacarpal fractures

Case contributed by Dr Bahman Rasuli

Presentation

Hand trauma.

Patient Data

Age: 25 years
Gender: Male

Minimally displaced fracture at the base of the right fourth and fifth metacarpals

There is no dislocation or other fracture.

Associated soft tissue swelling over the medial border of the hand.

Case Discussion

The fourth and fifth metacarpal base fractures usually occur as a consequence of notable axial loading force to a flexed hand as noted in clenched fist injuries.

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