45 yo rhd unemployed construction worker sustained a right small
metacarpal fracture on January 1. He indicates he was incarcerated for a
period of time. He was placed in a splint which was essentially an ulnar
gutter on January 4 through the emergency department. He has not had
this removed.
He indicates he has a history of depression. He has no allergies to
medications. He is an active smoker.
Today, his ulnar gutter splint was removed. He had stiffness of the right
ring and small fingers, but his range of motion is almost full. Of note, he
does have full extension at the right small finger MCP joint.
Describe the radiologic findings
What is your planned management?
no show for f/u at 4 wks
Describe the radiologic findings. Small metacarpal
neck fracture with apex dorsal angulation of
approximately 30°
What is your planned management? Sedentary
activities, may use a splint for comfort or protection
when at risk. eg riding subway. (Boxers fractures
are impaction injuries and they are stable. Despite
the angulation and because of the metacarpal
head shape they are able to maintain their motion.)
L/O indications for intervention for Boxer’s #