For metacarpal shaft fractures, direct blows to the dorsum of the hand can result in transverse fractures with varying degrees of comminution depending on the velocity of the injury. As metacarpal bones are superficial, these commonly get fractured when the hand is used for evasive action. ![]() ![]() Metacarpal fractures can occur in various settings but most commonly occur as a result of direct trauma. Due to the complexity of its form and function, orthopedic surgeons and other clinical providers must be able to recognize metacarpal fractures readily and treat these injuries in a timely fashion to avoid complications. Metacarpal fractures are common in the general population, with relative propensity seen in contact-sport athletes (e.g., boxers and football players) and manual laborers. Understandably, fractures of the metacarpals disrupt this mechanism causing significant disability for the active or working patient and can come about from several different mechanisms. The metacarpals form the osseous base of the complex lever system of flexor and extensor tendons of the hand. Explain the importance of improving care coordination among the interprofessional team to enhance care delivery for patients with metacarpal fractures.Outline the treatment and management options available for metacarpal fractures and when to use non-operative versus operative treatment.Review the proper evaluation of metacarpal fractures.Identify the etiology of metacarpal fractures.It will also go in-depth on the decision-making behind non-operative versus operative treatment, including its benefits and pitfalls. This activity will provide the reader with the basics for identifying, treating, and managing complications of metacarpal fractures.
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