Orthopaedic Jobs

Metacarpal Head Fractures


- See: MP joint injuries

- Discussion:
    - often badly comminuted;
    - consider a short period of splinting followed by early active motion;
    - this may mold the articular surface by using the soft tissue sleeve;
    - early motion will also prevent joint stiffness, but loos of motion is common after this type of fracture;

- Operative Fixation:
    - see: extensor mechanism of the digits
    - interosseous wiring:
    - screw fixation:
           

    - K wire fixation:
           

           

    - another example:
         



  Intra-articular metacarpal head fractures.

  Motion after metacarpophalangeal joint reconstruction in rheumatoid disease.



Original Text by Clifford R. Wheeless, III, MD.

Last updated by Data Trace Staff on Thursday, October 4, 2012 1:42 pm