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Thumb Metacarpal Fracture S62.246A 815.03

 

 

  • 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

  • P/A and lateral views of thumb 

Thumb Metacarpal Shaft Fracture Classification / Treatment

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

  • Rockwood and Greens
  • Greens Hand Surgery