What is a metacarpal fracture?

What is a metacarpal fracture?

The metacarpals are the long bones of the hand. Each hand has five metacarpal bones, one for the thumb and one for each finger. A metacarpal is a crack or break in one of these bones.

What causes metacarpal fractures?

These fractures are usually caused by a fall or a direct blow to the hand. Too much force is applied to the metacarpal bone of the hand, causing the fracture. This often happens when an injury occurs, such as being hit in the hand with a lacrosse or hockey ball. A lacrosse or hockey stick strikes the hand, falls directly onto the hand or knuckles, or strikes a wall.

How is this injury treated?

We first need to determine the location and shape of the fracture. This helps us decide the best course of treatment. Sometimes the two parts of the fracture have moved too far apart from each other and have rotated. This is called a This is called a displaced fracture and may require reduction surgery in the emergency department or surgery to reset the bone. This is called a displaced fracture and may require reduction surgery in the emergency department to put the bone in the correct position for healing. to allow it to heal. In most cases, your child will be put in a cast to keep the bones in place. Once we know they are in the best position, your child will be put in a cast to keep the bones in place. If the bone has If the bone is just a small crack, we may use a splint rather than a cast.

Will my child feel pain?

Pain is usually worst during the first few days to the first week. Acetaminophen or ibuprofen may be used as needed to treat pain caused by soreness. Be sure to discuss any allergies your child may have with your health care provider before giving your child over-the-counter medication. If your child has surgery, we may prescribe a small amount of prescription pain medication. A broken hand usually swells, so it is very important to keep the arm elevated (hand above the heart). Keeping your hand elevated like this helps prevent swelling from drifting down and getting stuck in your fingers. A good way to keep your arm elevated is to put it on a pillow with your fingers pointing up. Fingers pointing up.

Can my child be active?

Your child should not participate in activities that have the following risks Your child should not participate in activities where there is a risk of falling or hitting the fracture site directly. This includes Including the following activities.

- Running

- Playing on playground structures (such as jungle gyms or swing sets)

- Contact sports, such as basketball, field hockey or soccer

- Horseback riding, skating, or skiing

How long will my child be unable to participate in sports?

We will assess your child and make recommendations based on We will assess your child and make recommendations based on your child's injuries and the potential risk of injury in the sport your child plays. The potential injury risk of the sport in which your child participates. Your child may not play or do contact sports for 6 to 12 weeks Depending on the severity of the fracture, your child may not play or do contact sports for 6 to 12 weeks Depending on the severity of the fracture Depending on the severity of the fracture. Does my child need physical therapy or treatment? Your child may not need physical therapy and should return to full strength and activity within the following time frame Return to full strength and movement.

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