Metacarpal Fracture
A fracture of one of the five bones forming the palm, commonly caused by falls, direct blows or punching injuries.
Common patterns
Metacarpal fractures may affect the base, shaft, neck or head. Fifth-metacarpal neck fractures are commonly called boxer’s fractures.
What is checked
Examination looks for wounds, circulation, tendon function and especially finger rotation. When making a fist, the fingers should converge without crossing.
Imaging
X-rays define the fracture location, angulation, shortening and joint involvement. CT may occasionally be helpful for complex articular injuries.
Treatment without surgery
Stable fractures with acceptable alignment can often be treated with splinting or functional support followed by early protected motion.
When surgery is considered
Open fractures, unacceptable rotation, unstable displacement, multiple fractures and some joint-involving patterns may require fixation.
Recovery
Bone healing is only part of recovery; swelling and finger stiffness can limit function, so safe early motion is often emphasised.