Third metacarpal neck fracture

Case contributed by Dr Derek Smith

Presentation

Swelling and pain to middle knuckle of right hand following punching action. No limitation in movement and normal neurovascular status distally.

Patient Data

Age: 15
Gender: Male
Modality: X-ray

Fracture of the neck of the right middle metacarpal bone.

Volar angulation of distal fragment to 115° with some radial rotation.

No articular involvement, but shortening of the bone.

Case Discussion

This patient had a fracture of the middle metacarpal neck.

It was reduced under local anaesthesia and repaired in theatre.

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Case Information

rID: 35796
Case created: 23rd Apr 2015
Last edited: 4th Oct 2015
Inclusion in quiz mode: Included

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