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Metacarpal Base Fractures (except first metacarpal)

Mechanism of Injury

Fractures usually arise as a consequence of a punching injury.

Classification

The fracture can be classified into:

  • Extra-articular
  • Intra-articular
    • Impaction
    • Avulsion
    • Fracture-dislocation

Clinical Features

Localised pain, swelling and limitation of movements.

Radiographs confirm the diagnosis, with an oblique often being required.



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