Metacarpal Fracture Xrays

#Image 1 –  Fourth and Fifth Metacarpal Fracture Xray

fourth and fifth metacarpal fr

The image is antero-posterior view of xray wrist with hand. The present xray shows badly comminuted fracture of base of fifth metacarpal. Also seen is fracture of fourth metacarpal.

The type of fracture indicates that there was a strong traumatic force that caused so much comminution. In such case of damage to articular cartilage, the functional results are often poor.

# Image 2 – Fractures of First and Second Metacarpal

Fracture of first and second metacarpal


The picture shows xray of fracture of first and second metacarpal. The first metacarpal is broken at shaft anfd second metacarpal has got its head broken.

While fracture of the first metacarpalis oblique in type, head of second metacarpal is comminuted.

#Image 3 – Xray of Dislocation of Second, Third, Fourth Metacarpal and Fracture of Metacarpal Fifth Base

Xray showing dislocation of 2nd, 3rd and fourth metacarpophalangeal joint along with fracture of fifth metacarpal base.

Fracture and dislocation of metacarpal bases

Dislocation of 2-4 Metacarpophalangeal Joint and Fracture of Base Of Fifth Metacarpal

The patient suffered this injury in a motor vehicle accident.

#Image 4 – United Fracture of Second and Third Metacarpal Showing Callus – Xray Hand

Xray of hand showing united fracture of second and third metacarpal

United Metacarpal Fracture With Callus

Metacarpal Fractures With Callus

Callus is also visualized.

#Image 5 – Dislocation of First Metacarpophalangeal Joint – Xray

Xray of hand showing dislocation of first metacarpophalangeal joint.

dislocation-MP joint

Though this view does not clearly show it, the dislocation is probably volar.

#Image 6 – Intra-articular Fracture of First Metacarpal Base With Subluxation of Carpometacarpal Joint- Bennett’s Fracture

Bennett’s fracture is intra-articular fracture of the first metacarpal base that extends into carpometacarpal joint as shown in the image below. In most of the cases this fracture is accompanied by either subluxation or dislocation of the carpometacarpal joint.

Intra-articular Fracture of First Metacarpal Base With Subluxation Of Carpometacarpal Joint

Bennett’s Fracture

Above xray belongs to 55 years old male who suffered this injury following a fall from bike. Patient

#Image 7 – Oblique Fracture of Shaft of Fifth Metacarpal

Oblique Comminuted Fracture of Shaft of Fifth Metacarpal

Oblique Comminuted Fracture of Shaft of Fifth Metacarpal

The patient, 39 years old male had injured his hand in motor vehicle accident.

#Image 8 – Oblique Fracture of Fifth Metacarpal – Xray

Fifty five years old with fracture of fifth metacarpal.

Oblique Fracture 5th Metacarpal

Oblique Fracture 5th Metacarpal

Patient refused any kind of treatment.

#Image 9 – Xray of Oblique Fracture of Shaft of Fifth Metacarpal

Oblique fracture of fifth metacarpal of hand.

Oblique Fracture of Shaft of Fifth Metatarsal

Oblique Fracture of Shaft of Fifth Metatarsal

The fracture resulted from fall from bike.

#Image 10 – Fifth Metacarpal Fracture Xray

Nineteen years old male had a hand injury following fall of heavy object on it. Xray revealed a fracture of fifth metacarpal below neck of the metacarpal.

Fracture Fifth Metacarpal

Fracture Fifth Metacarpal

The patient was advised closed reduction and internal fixation with kwire but patient chose to get non operative treatment.

#Image 11 – Base First Metacarpal Fracture Xray

Fracture of base of first metacarpal in 34 years old male.

Fracture of Base of First Metacarpal Bone

Fracture of Base of First Metacarpal Bone

Under local anesthesia, the fracture was reduced by closed reduction methods and and fixed by a Kwire.

Fracture Reduced and Fixed Visualized in Carm image intensifier

Fracture Reduced and Fixed Visualized in C-arm image intensifier

At present time, the patient is in third week of followup and showing good improvement.

#Image 12 – Xray Hand Showing Fracture of Base of Fifth Metacarpal

37 years old man with history of injury to hand.

Fracture of Base of Fifth Metacarpal

Fracture of Base of Fifth Metacarpal

The xray shows fracture of base of fifth metacarpal.


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  1. Matt says

    What treatment may be required for a fracture of the second metacarpal joint? Is it common that surgery may be necessary, or will there be a determination after the bones have fused? I am curios because I have the same type of fracture, to my second metacarpal! The orthopedist I am seeing has not yet ruled out surgery.

  2. Dr Arun Pal Singh says


    It depends on configuration of your fracture. A displaced fracture may require surgery whereas undisplaced fractures mostly unite non operatively.

  3. Mohamed AlSamahy says

    i broke the base of my second metacarpal bone what are the complications. and what can i do to reduce the chance of having complications?

  4. Mohamed AlSamahy says

    a little bit….. i'm taking a painkiller and anti-inflammatory tablet called "Amorphous Aescin"–>Reparil 40…..
    the cast is only on the outer part of my hand (nails side) and wrapped with elastic sheet ( i dont know the medical name exactly)

    [Ed: URL edited for privacy issues]

  5. bob samuel says

    hi, does this type of metacarpal fracture need pinning?

    [ED: URL edited for safety issues]


  6. Mohamed AlSamahy says

    i need your opinion urgently,

    when i try to close my hand, my index finger doesn't touch my middle finger. did it heal wrong?? what can i do??

  7. Dr Arun Pal Singh says

    @bob samuel,

    Yes! That is a better choice as compared to non operative treatment as the fracture are oblique.

    My opinion is based on xray film only and you should discuss the treatment with your doctor, who is in better position to offer the best treatment that suits your needs and condition.

  8. Dr Arun Pal Singh says

    @Mohamed AlSamahy,

    Would you elaborate. If you are continuing from our previous conversation, please include that in the comment.

  9. Mohamed AlSamahy says

    yes, i was talking about my case which was (base of 2nd metacarpal fracture)

    i appreciate your help.

  10. Dr Arun Pal Singh says

    @Mohamed AlSamahy,

    I saw the xrays. It is not displaced much and should have good prognosis.

    Are you on physiotherapy?

  11. Dr Arun Pal Singh says

    @Mohamed AlSamahy,

    I answered your previous query. Please let me know if there is anything else.

  12. Mohamed AlSamahy says

    no i'm not on physiotherapy. when do you recommend i should start?

    thank you for helping me :)

  13. Mohamed AlSamahy says

    regarding my case( base of 2nd metacarpal fracture), from time to time i feel itching sensations in my "Proximal phalange of 2nd finger" and when i try to scratch the bone itself not the joint i feel like there is some kind of depositions, which hurt when i scratch it, then it just disappear after 15-20 min. and when i try to touch the same bone i feel it became normal again with nothing on the bone and no pain.!!……

    p.s. i have no pain in the joints

    thanks again for your help…..

  14. Tyler says

    3 weeks ago I fractured my second medacarpal, from having my fingure bent back. Doc said cast to 4 weeks, will it be alright to get back into compitition shooting when the cast is off.


  15. Tyler says

    I got the cast off, just a few days ago. Right now I can almost make a fist, it still has alittle bit of bruising and swelling but its getting better and better. I'm hoping it wont interfere with Motocross racing and My IPSC Shooting these are my biggest worries since they both start very soon.


  16. Alyssia Winter says

    I have fractured 2nd metacarpal with swelling in thumb now 4 days after injury. Have split but wondering if pins are necessary…have xray if anyonwe can give opinion

  17. Dr Arun Pal Singh says

    @Alyssia Winter,

    You can send the xray to contact [at] boneandspine [dot] com

  18. t hensby says

    son has xray of left hand

    there is a displaced bony avulsion fragment at the head of the left 2nd metacarpal along the medial border. There is adjacent spoft tissue swelling. There is slight bony cortical irregularity at the head of the 1st metacarpal.

    Is a splint enough in this case. He can move the fingers, selling is on the back of the hand. but no pain unless it is squeesed or knocked. thanks

  19. Matt G. says

    I fractured my second metacarpal in the right hand and i've been told that I should be operated, but also told not necessary. I would really rather not have surgery but Imust use my finger again properly. The head of the metacarpal is shattered. I've been scheduled for surgery for Monday. Any opinions? I will send the x-ray. Thanks!!

  20. Dr Arun Pal Singh says

    @t hensby,

    Please see a doctor. I cannot prescribe the treatment as it is not possible without physical interaction with patient.

  21. Matt G. says

    Status update: sugery with three screws and plate to unite pieces of head of second metacarpal. Very stiff fingers, especially index. Phys Ther insists at first visit it must be moved. Extreme pain! Somewhat concerned about difficulty with index and Phys Therapy recommendation. Hate to take pain med., but one PT session can leave you in a fowl mood for tge entire day.I saw the x rays but don't have copies. Roundnes at joit w/ finger achieved.

  22. Michael Handrin says

    I broke 5th metacarpal at base. I had to have surgery since it was displaced volar angulation. I had it set with closed reduction and pinning and I have had the cast off for 4 weeks now. The cast stayed on for 4 weeks prior and the pins came off when the cast came off. Doc saidd the fracture is healed but I want to know when the stiffness in palm and back of palm goes away. Also, the pinky is a bit stiff. Please help. Thanks!

  23. Dr Arun Pal Singh says

    @Michael Handrin,

    It is a natural course in healing and should go away in 2-4 weeks of physiotherapy.

  24. israel says

    I have a question I broke the head of my secound metacarple n rite now its, bin a week an a day excat since I broke it I just went to get a fiberglass splint yesterday n I have a big party in two weeks exact on 25th n I dont want have a bulky cast on can I just wear the fiberglass splint in the meanwhile n then the day of the party take it off n the next day get a cast

  25. Dr Arun Pal Singh says


    My answer is too delayed to address your concern. How are you now?

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