Short 4th metacarpal: post-traumatic

Case contributed by Dr Henry Knipe


Pain post fall ?fracture.

Patient Data

Age: 40
Gender: Female

No acute fracture or malalignment. Short fourth metacarpal noted on frontal view, seen to be post-traumatic (healed fracture) on the oblique view. 

Case Discussion

There is a long list for causes/associations of a short fourth (or fifth metacarpal). Post-traumatic is a common cause that shouldn't be forgotten - "when you hear hooves, look for horses not zebras". 

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Case information

rID: 32705
Published: 10th Dec 2014
Last edited: 16th Jul 2018
Inclusion in quiz mode: Included

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