Skip to main content
SpringerLink
Log in

Thumb Metacarpal Base Fracture

  • Reference work entry
  • First Online:
Pediatric Orthopedic Trauma Case Atlas

  • 102 Accesses

Abstract

A 13-year-old boy presents with an acute sport-related thumb injury. Radiographs demonstrate a minimally displaced intra-articular fracture at the base of the first metacarpal. He was treated nonoperatively with thumb spica cast immobilization for 1 month. At that time, he was noted to be asymptomatic and he was allowed to return to full activities.

A 14-year-old girl also presents with an acute sport-related thumb injury. Radiographs demonstrate an extra-articular fracture at the base of the first metacarpal. She was initially splinted. However, she was noted subsequently to have angulation of her fracture. She underwent closed reduction and percutaneous pinning. The pins were removed after 4 weeks. She returned to full activity at 7 weeks.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 549.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 849.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References and Suggested Readings

  • Godfrey J, Cornwall R (2017) Pediatric metacarpal fractures. Instr Course Lect 66:437–445

    PubMed  Google Scholar 

  • Jehanno P, Iselin F, Frajman JM, Penneçot GF, Glicenstein J (1999) Fractures of the base of the first metacarpal in children. Role of K-wire stabilisation. Chir Main 18(3):184–190

    CAS  PubMed  Google Scholar 

  • Kozin SH (2006) Fractures and dislocations along the pediatric thumb ray. Hand Clin 22(1):19–29. Review

    Article  Google Scholar 

  • Vadivelu R, Dias JJ, Burke FD, Stanton J (2006) Hand injuries in children: a prospective study. J Pediatr Orthop 26(1):29–35

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Orthopaedic Surgery, Nemours/Alfred I. duPont Hospital for Children, Wilmington, DE, USA

    Rameez A. Qudsi & Jennifer M. Ty

  2. Department of Orthopedic Surgery, Seton Hall/St. Joseph’s Regional Medical Center, Paterson, NJ, USA

    Nancy J. Moontasri

Authors
  1. Rameez A. Qudsi
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Nancy J. Moontasri
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Jennifer M. Ty
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Jennifer M. Ty .

Editor information

Editors and Affiliations

  1. Center for Limb Lengthening and Reconstruction, Department of Orthopedic Surgery, Nationwide Children’s Hospital, Ohio State University, Columbus, OH, USA

    Christopher A. Iobst

  2. Department of Orthopaedic Surgery, Stanford University School of Medicine, Pediatric Orthopaedic Surgery, Lucile Packard Children’s Hospital, Stanford, CA, USA

    Steven L. Frick

Section Editor information

  1. Department of Orthopedic Surgery Orthopedics, Alfred I. duPont Hospital for Children, Wilmington, DE, USA

    Jennifer M. Ty

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this entry

Check for updates. Verify currency and authenticity via CrossMark

Cite this entry

Qudsi, R.A., Moontasri, N.J., Ty, J.M. (2020). Thumb Metacarpal Base Fracture. In: Iobst, C., Frick, S. (eds) Pediatric Orthopedic Trauma Case Atlas. Springer, Cham. https://doi.org/10.1007/978-3-319-29980-8_45

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-29980-8_45

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-29979-2

  • Online ISBN: 978-3-319-29980-8

  • eBook Packages: MedicineReference Module Medicine

Publish with us

Policies and ethics

Search

Navigation