Hand Trauma
A 24-year-old man presents after punching a wall. He has pain and swelling over the ulnar border of his dominant hand. The small finger knuckle appears depressed (loss of prominence). There is 50 degrees of apex dorsal angulation at the fifth metacarpal neck on lateral radiograph. When he makes a fist, the small finger overlaps the ring finger. There is no malrotation of the index, middle, or ring fingers. Regarding metacarpal fractures:
Mark each as TRUE or FALSE
The "boxer's fracture" is a fracture of the fifth metacarpal neck, typically from a direct blow (pun...
Malrotation is the most important parameter to assess and is poorly tolerated; it is evaluated by ha...
The second metacarpal tolerates the most angulation; malrotation is well-tolerated and does not affe...
Non-operative treatment (buddy taping, ulnar gutter splint in intrinsic-plus position) is appropriat...
Thumb metacarpal base fractures (Bennett and Rolando) are intra-articular requiring anatomic reducti...
Answer the questions to see explanations
Click T (True) or F (False) for each option