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Intra-articular base of 5th metacarpal fracture

Case contributed by Dr Andrew Dixon

Presentation

Punched a wall. Tender 5th metacarpal.

Patient Data

Age: 30 years
Gender: Male

There is a displaced intra-articular fracture involving the radial aspect base of the right fifth metacarpal. This could probably be better visualized on a reverse oblique radiograph. There is associated soft tissue swelling.

X-ray

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Annotated images showing the intra-articular fracture fragment from the radial aspect base of the 5th metacarpal hidden by the 4th metacarpal base. 

Case Discussion

An example of a base of 5th metacarpal intra-articular fracture that could potentially be missed by the inexperienced reader as the major fracture fragment is superimposed over the 4th metacarpal base on the PA and oblique images. 

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Case information

rID: 71864
Published: 30th Oct 2019
Last edited: 9th Sep 2020
Inclusion in quiz mode: Included

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