Third metacarpal neck fracture

Case contributed by 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
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 anesthesia and repaired in theater.

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