![]() ![]() Extra-articular transverse fracture of the base of the first metacarpal.What are the types of metacarpal fractures?įracture of the base of the first metacarpalįractures of the base of the first metacarpal commonly occur as a result of a punch connecting with a hard object, such as an opponent’s head, or a fall on the abducted thumb. Approximately 20% of metacarpal and phalangeal fractures are intra-articular (i.e., within the joint). Metacarpal fractures are seen more often in adults, whereas phalangeal fractures are more common in children. This type of fracture is therefore known as a “boxer’s fracture.” Each of the digits (i.e., fingers) of the hand has a corresponding metacarpal bone, and any of these metacarpals may be fractured. They often occur in the small finger metacarpal bone in boxers and other athletes. Metacarpal fractures are fractures (i.e., breaks) of the tubular palm bones. Once the fracture has healed appropriately, rehabilitation with a sports chiropractor is important to restore normal biomechanics, reduce pain and fear-avoidance, strengthen surrounding muscles, joints and ligaments, sports-specific exercises and return to play. Sports chiropractors provide an important conservative management role in patients with a history of metacarpal fractures. Primary care usually involves an accurate diagnosis using orthopaedic examination and imaging investigation, pain control including analgesics, immobilisation and reduction of the fracture as indicated, and appropriate referral to a hand surgeon if required. There are varying degrees and types of metacarpal fractures, which often determines prognosis and treatment. The distal phalangeals (i.e., finger tip bones) are the most commonly fractured bone in the hand, followed by the metacarpals (i.e., hand bones). In fact, metacarpal fractures account for 10% of all fractures presenting to emergency rooms, and represents a substantial portion of upper extremity fractures. ![]() ![]() Metacarpal fractures are common sporting injuries seen in boxing, football, basketball and netball. ![]()
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