Orthopedic Care and Consultation
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.
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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.
Dr Arun Pal Singh Reply:
December 15th, 2009 at 9:20 pm
@Matt,
It depends on configuration of your fracture. A displaced fracture may require surgery whereas undisplaced fractures mostly unite non operatively.
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?
Dr Arun Pal Singh Reply:
November 27th, 2010 at 1:05 pm
@Mohamed AlSamahy,
Is it displaced?
What is the treatment being taken?
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)
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Dr Arun Pal Singh Reply:
December 14th, 2010 at 2:58 pm
@Mohamed AlSamahy,
I saw the xrays. It is not displaced much and should have good prognosis.
Are you on physiotherapy?
hi, does this type of metacarpal fracture need pinning?
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thanks
Dr Arun Pal Singh Reply:
December 4th, 2010 at 1:21 pm
@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.
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??
Dr Arun Pal Singh Reply:
December 4th, 2010 at 1:23 pm
@Mohamed AlSamahy,
Would you elaborate. If you are continuing from our previous conversation, please include that in the comment.
yes, i was talking about my case which was (base of 2nd metacarpal fracture)
i appreciate your help.
Dr Arun Pal Singh Reply:
December 14th, 2010 at 3:31 pm
@Mohamed AlSamahy,
I answered your previous query. Please let me know if there is anything else.
no i’m not on physiotherapy. when do you recommend i should start?
thank you for helping me
Dr Arun Pal Singh Reply:
December 21st, 2010 at 1:48 pm
@Mohamed AlSamahy,
You should start it now under supervision of your doctor.
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…..
Dr Arun Pal Singh Reply:
December 29th, 2010 at 12:32 pm
@Mohamed AlSamahy,
Did you see your doctor regarding this?
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.
Thanks
Dr Arun Pal Singh Reply:
February 22nd, 2011 at 6:49 am
@Tyler,
By now your cast would be out. How is your condition?
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.
Thanks
Dr Arun Pal Singh Reply:
February 22nd, 2011 at 12:41 pm
@Tyler,
Good to know that. All the best.
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
Dr Arun Pal Singh Reply:
March 31st, 2011 at 12:54 pm
@Alyssia Winter,
You can send the xray to contact [at] boneandspine [dot] com
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
Dr Arun Pal Singh Reply:
August 13th, 2011 at 12:14 pm
@t hensby,
Please see a doctor. I cannot prescribe the treatment as it is not possible without physical interaction with patient.
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!!
Dr Arun Pal Singh Reply:
August 13th, 2011 at 1:49 pm
@Matt G.,
Sorry! You needed an urgent reply.
What is the status now?
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.
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!
Dr Arun Pal Singh Reply:
November 9th, 2011 at 2:00 pm
@Michael Handrin,
It is a natural course in healing and should go away in 2-4 weeks of physiotherapy.
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
Dr Arun Pal Singh Reply:
March 29th, 2012 at 12:46 am
@israel,
My answer is too delayed to address your concern. How are you now?