What are the common causes?

Typically resultant from trauma such as falls, sports injuries, punching or hitting a hard object, and vehicular accidents.

Which symptoms should prompt consideration of a metacarpal fracture?

- Severe pain and tenderness in the hand
- Difficulty or inability to move the finger
- Visible deformity of the hand or fingers
- Swelling and bruising in the palm

What diagnostic tests are typically employed to confirm a metacarpal fracture?

Firstly, X-rays are essential to visualize the fracture. For complex fractures, CT scans can provide more detailed information.

What is the standard of care for a metacarpal fracture?

Management largely depends on the nature and location of the fracture. However, common treatments include immobilization with a cast or splint, pain management, and physiotherapy. In more serious cases, surgical intervention may be required, specifically open reduction and internal fixation (ORIF).

What are the potential complications?

Possible complications include malunion of the fracture, hand stiffness due to immobility, infection (particularly following surgery), and complex regional pain syndrome (CRPS).

Advice:

Metacarpal fractures are common but can have significant implications for hand function. Prompt diagnosis and appropriate management are crucial. For complex cases, refer to a specialized hand surgeon.