Abstract
A 14 year-old male sustained an injury to the right hand while playing basketball. Clinical and radiographic evaluation revealed fractures of the index and long metacarpals in the right hand. A preoperative plan was developed based on the severity of the patient’s injury in the context of his overall clinical picture. Surgical treatment using an open reduction and internal fixation approach was deemed optimal. The fractures were fixed using lag screws. The patient’s recovery was complete. The only notable post-operative issue was stiffness, but this resolved with occupational therapy (OT). The patient was able to return to normal activity and athletics.
This is a preview of subscription content, log in via an institution to check access.
References and Suggested Reading
Abzug JM. The pediatric upper extremity. Springer. http://www.springer.com/us/book/9781461485131. Accessed 25 Sept 2016
Campbell RM (1990) Operative treatment of fractures and dislocations of the hand and wrist region in children. Orthop Clin North Am 21(2):217–243
Cassel and Shah AS (2015) Metacarpal Fractures in the Pediatric Upper Extremity (Editors Abzug JA, Kozin SH, Zlotolow DA), Springer, New York, NY, p981–1004
Lindley SG, Rulewicz G (2006) Hand fractures and dislocations in the developing skeleton. Hand Clin 22(3):253–268. https://doi.org/10.1016/j.hcl.2006.05.002
Weinstein LP, Hanel DP (2002) Metacarpal fractures. J Am Soc Surg Hand 2(4):168–180. https://doi.org/10.1053/jssh.2002.36788
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Section Editor information
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG
About this entry
Cite this entry
Gordon, J.A., Shah, A.S. (2018). Open Treatment of Metacarpal Shaft Fractures. In: Iobst, C., Frick, S. (eds) Pediatric Orthopedic Trauma Case Atlas. Springer, Cham. https://doi.org/10.1007/978-3-319-28226-8_51-1
Download citation
DOI: https://doi.org/10.1007/978-3-319-28226-8_51-1
Received:
Accepted:
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-28226-8
Online ISBN: 978-3-319-28226-8
eBook Packages: Springer Reference MedicineReference Module Medicine