Metacarpal and Phalangeal Fractures


Metacarpal and Phalangeal Fractures

Aaron Mull & Amy M. Moore
A 28-year-old left hand-dominant man presents with hand pain after striking someone with his left hand. The X-ray is shown above. On examination, overlapping of the patient′s ring and small fingers is noted while he makes a fist.


  • 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).

  • Hand dominance.

  • Occupation.

  • Smoking status.

  • Inquire about prior hand injuries or operations.

Physical examination

  • 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.

Only gold members can continue reading. Log In or Register to continue

Jun 18, 2020 | Posted by in General Surgery | Comments Off on Metacarpal and Phalangeal Fractures
Premium Wordpress Themes by UFO Themes