You are here

Thumb Metacarpal Fracture S62.329A 815.03

 

 

synonyms:thumb metacarpal fracture, thumb metacarpal shaft fracture

Thumb Metacarpal Shaft Fracture ICD-10

 

Thumb Metacarpal Shaft Fracture ICD-9

  • 815.03(closed)
  • 815.13(open)

Thumb Metacarpal Shaft Fracture Etiology / Epidemiology / Natural History

  • Rotational deformity associated with oblique and comminuted fractures

Thumb Metacarpal Shaft Fracture Anatomy

Thumb Metacarpal Shaft Fracture Clinical Evaluation

  • Generally have obvious pain and deformity at the fracture site.
  • Document neurovascular status before and after any reduction. 

Thumb Metacarpal Shaft Fracture Xray

Thumb Metacarpal Shaft Fracture Classification / Treatment

  • Non-displaced
    -Thumb spica cast for 6 weeks (CPT=26600 closed treatment MC fracture without manipulation, each bone: 26605=with manipulation)
  • Displaced (angulation >30 degrees, shortening >4mm,  rotational deformity)
    -CRPP vs ORIF 
  • See also: Bennett's Fracture 815.01:  Rolando Fracture 815.01 S62.233A S62.236A

Thumb Metacarpal Shaft Fracture Associated Injury

Thumb Metacarpal Shaft Fracture ORIF Complications

Thumb Metacarpal Shaft Fracture Follow-up

  • Post-op: thumb spica splint
  • 7-10 Days: remove splint. Place in thumb spica cast
  • 3 Months: Check xrays. If union is complete return to full activities. Assess motion, consider occupational therapy if indicated.
  • 6 Months: Assess motion,
  • 1Yr: F/u xrays, assess outcome.

Thumb Metacarpal Shaft Fracture Review References

Disclaimer

The information on this website is intended for orthopaedic surgeons.  It is not intended for the general public. The information on this website may not be complete or accurate.  The eORIF website is not an authoritative reference for orthopaedic surgery or medicine and does not represent the "standard of care".  While the information on this site is about health care issues and sports medicine, it is not medical advice. People seeking specific medical advice or assistance should contact a board certified physician.  See Site Terms / Full Disclaimer