MOC-PSSM CME article: Metacarpal fractures

Plastic and Reconstructive Surgery
Simon H Chin, N B Vedder


After reading this article, the participant should be able to: 1. Identify the fracture patterns and types of metacarpal fractures. 2. Recognize when surgery is indicated for a given fracture. 3. Discuss the pathophysiology of Bennett's fractures and treatment. 4. List surgical treatment options and their relative advantages and disadvantages. 5. Be familiar with pediatric metacarpal injuries and when surgery is indicated. Metacarpal fractures are among the most common injuries seen in the emergency room and a staple for the hand surgeon. Knowledge of the types of fractures that occur and the appropriate treatment options is critical core knowledge for the hand surgeon. With the advent of superior implants and intraoperative fluoroscopy, powerful treatment options exist for metacarpal fractures and are at the disposal of the informed hand surgeon. Closed reduction and cast immobilization, Kirschner wires, lag screws, plate fixation, and other techniques are all available to the hand surgeon. Bone grafting in highly comminuted fractures also deserves consideration. The majority of metacarpal fractures can be treated closed and do well with compliant hand therapy. Those fractures requiring operative intervention likewise do well,...Continue Reading


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Related Concepts

Fracture Fixation, Internal
Diagnostic Radiologic Examination
Metacarpal Bone

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