MOC-PSSM CME article: Metacarpal fractures

Plastic and Reconstructive Surgery
Simon H Chin, N B Vedder

Abstract

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

References

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Citations

Feb 27, 2014·Hand : Official Journal of the American Association for Hand Surgery·Kathleen M KollitzJerry I Huang
Jul 6, 2014·Clinics in Plastic Surgery·Michael W NeumeisterKate McKenna
Dec 3, 2014·Hand Clinics·Andrew J Watt, Kevin C Chung
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Jun 28, 2017·Plastic and Reconstructive Surgery·Victor W Wong, James P Higgins
Mar 14, 2014·Techniques in Hand & Upper Extremity Surgery·Mohamed AdiPhilippe Liverneaux
Apr 30, 2014·Plastic and Reconstructive Surgery·Jacob M P Bloom, Warren C Hammert
Jul 24, 2019·Plastic and Reconstructive Surgery. Global Open·Vasileios VasilakisBrian A Pinsky
Aug 5, 2014·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Hideaki MiyamotoPhilippe Liverneaux
Aug 28, 2018·Plastic Surgery·Helene RetrouveyPaul Binhammer
May 21, 2020·Techniques in Hand & Upper Extremity Surgery·Aaron Eu Wen KohRajaratnam Vaikunthan

Related Concepts

Fracture Fixation, Internal
Diagnostic Radiologic Examination
Metacarpal Bone
Fracture

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