Dr. Mark E. Pruzansky
Dr. Jason S. Pruzansky
975 Park Avenue New York, NY 10028

Metacarpal Fracture Treatments

Introduction to Metacarpal Fractures: Causes and Symptoms

A metacarpal fracture is a common hand injury that occurs when one of the long bones in the hand, known as the metacarpal bone, breaks due to trauma or impact. These fractures can result from various causes, such as sports injuries, falls, or accidents. Symptoms often include pain, swelling, deformity, and difficulty in moving the hand. Understanding the causes, diagnosis, and treatment options is crucial for a successful recovery.

Anatomy of the Hand: Understanding the Injury

To comprehend the significance of a metacarpal fracture, it’s important to understand the hand’s anatomy. The hand consists of five metacarpal bones that connect the wrist to the fingers. Each metacarpal bone is divided into three parts: the base, shaft, and head. Fractures can occur in any of these parts, and the specific location and severity of the fracture will determine the treatment approach.

Diagnosis of a Metacarpal Fracture: Imaging and Examination

Prompt medical attention is vital if a metacarpal fracture is suspected. An orthopedic hand surgeon will conduct a thorough examination, considering symptoms and potentially ordering imaging tests, such as X-rays, to confirm the diagnosis and assess the extent of the fracture.

Non-Surgical Treatments for a Metacarpal Fracture

For stable fractures, non-surgical treatments can effectively manage and promote healing of metacarpal fractures. Your hand surgeon would determine the severity of your fracture and advise on whether non-surgical or surgical treatments are necessary.

Immobilization: Splints and Casts

Immobilization is a primary treatment method for a metacarpal fracture. A splint or cast is used to immobilize the hand, ensuring proper alignment of the fractured bones as they heal. The duration of immobilization varies based on the type and severity of the fracture.

Pain Management: Medications and RICE

Healthcare providers may recommend pain medications, both over-the-counter and prescription, to alleviate the discomfort associated with a metacarpal fracture. Additionally, home remedies like ice packs and elevation may help reduce swelling and pain.

Surgical Treatments for a Metacarpal Fracture

Surgery might be necessary in cases where the fracture is complex, unstable, or significantly displaced.

Indications for Surgery

Hand surgery is generally recommended when the fracture is displaced, involves the joint, or when non-surgical treatments fail to align the bones properly. The decision for surgery is influenced by factors such as the specific metacarpal bone affected, the degree of displacement, and individual patient needs.

Different Surgical Procedures for Metacarpal Fractures

Several surgical techniques can be employed to treat metacarpal fractures:

  • Open Reduction and Internal Fixation (ORIF): An incision is made to access the fractured bone. The bone fragments are realigned, and screws, plates, or wires are used to stabilize them.
  • Closed Reduction and Percutaneous Pinning: The hand surgeon manually repositions the fractured bone, and small pins or wires are inserted through the skin to hold the bones in place during healing.
  • External Fixation: This method involves the use of an external device to stabilize the fractured bone. Metal pins or wires are inserted through the skin and connected to an external frame outside the body, providing stability and promoting healing.

Rehabilitation and Exercises for a Metacarpal Fracture

After the initial healing phase, rehabilitation and exercises are crucial for restoring hand function, strength, and mobility.

A hand therapist will collaborate with the patient to develop a personalized rehabilitation plan. This plan might involve exercises to enhance range of motion, strength, and flexibility of the hand. Functional activities could be integrated to improve coordination and dexterity. It’s vital to adhere to the therapist’s guidance and attend all scheduled rehabilitation sessions to achieve the best recovery.

Tips for Speedy Recovery from a Metacarpal Fracture

To expedite recovery and ensure optimal healing, consider these tips:

  • Follow the Treatment Plan: Adhere to the prescribed treatment plan provided by your hand surgeon
  • Immobilization: Keep the hand immobilized as instructed to prevent further injury.
  • Pain Management: Take prescribed pain medications as directed for pain relief.
  • Rehabilitation: Attend all rehabilitation sessions and diligently perform recommended exercises.
  • Overall Health: Maintain good health with a balanced diet, sufficient rest, and avoiding activities that strain the hand.

Prevention: Reducing the Risk of Metacarpal Fractures

While preventing all injuries might be challenging, these steps can lower the risk of hand injuries such as metacarpal fractures:

  • Hand Protection: Use hand protection during activities with a high risk of injury, like sports or manual labor.
  • Technique: Practice proper technique to minimize strain on the hands during physical activities.
  • Safe Environment: Maintain a safe environment to prevent falls or accidents that could lead to hand injuries.
  • Rest and Strengthening: Take breaks during repetitive tasks and perform exercises to strengthen your hands.

Do You Think You Have a Metacarpal Fracture?

Understanding the causes, diagnosis, and treatment options for metacarpal fractures is crucial for effective management and recovery. Non-surgical treatments are often effective, while surgical interventions may be necessary for more complex fractures. Rehabilitation and exercises play a critical role in restoring hand function after a surgical treatment. Taking preventive measures and practicing hand safety techniques, reduces the risk of metacarpal fractures.

If you suspect a metacarpal fracture, please consult with Dr. Mark E. Pruzansky or Dr. Jason S. Pruzansky immediately for an accurate diagnosis and appropriate treatment.