Metacarpal and Phalangeal Fractures
Oblique extra-articular fracture of ring finger metacarpal shaft with angulation, rotation, and shortening,
Mechanism of injury (e.g., sharp, blunt, avulsion).
Time elapsed since injury.
Possible contamination during injury (e.g., oral contamination, farm injury).
Inquire about prior hand injuries or operations.
Assess for skin lacerations/injury, degree of contamination, and viability of soft tissues.
Examine for possibility of open fractures and joint involvement.
Assess for angulation and rotation of digit while the patient makes a fist (i.e., scissoring).
Assess for neurovascular integrity of the affected digits.