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Updated: May 16, 2025

Metacarpal Small Incision for Carpal Tunnel Syndrome

Metacarpal Small Incision for Carpal Tunnel Syndrome

Published on: April 5, 2024

Fifth Metacarpal Fracture in 65-Year-Old Female.

Denise R Ramponi¹, Patricia K Strobehn

¹Author Affiliations: School of Nursing, Education & Human Studies, Robert Morris University, Moon Township, Pittsburgh, Pennsylvania (Dr Ramponi); Urgent Care Clinics, Convenient Care Clinics, Heritage Valley Health System, Pittsburgh, Pennsylvania (Dr Ramponi); and School of Nursing, Touro University Nevada, Henderson, Nevada (Dr Strobehn).

Advanced Emergency Nursing Journal

|April 18, 2025

Summary

Metacarpal fractures are common hand injuries, often seen in young adults. This case study focuses on a specific fifth metacarpal fracture at the base with significant angulation.

Keywords:

deformity fifth metacarpal fracture malrotation

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Area of Science:

Orthopedic Surgery
Traumatology
Hand Surgery

Background:

Metacarpal fractures constitute 30-40% of all hand fractures.
Commonly affect adolescents and young adults due to direct trauma, axial load, or torsional forces.
Fractures are classified by location: head, neck, shaft, and base.

Purpose of the Study:

To present a case of a fifth metacarpal fracture.
To detail the specific fracture characteristics, including location and angulation.
To contribute to the understanding of metacarpal base fractures.

Main Methods:

Case report highlighting a specific patient presentation.
Review of metacarpal fracture classification and common mechanisms of injury.
Radiographic assessment of fracture angulation.

Main Results:

The case involves a fifth metacarpal fracture near the base.
The fracture exhibits 40 degrees of angulation.
This specific injury pattern is less common than boxer fractures.

Conclusions:

Fifth metacarpal base fractures, though less common than neck fractures, require careful evaluation.
Accurate assessment of angulation is crucial for treatment planning.
This case underscores the diversity of metacarpal injuries.