Concluded Case

Hand trauma

49years M, non DM. Right handed. He has following XRay findings, following RTA. Treatment option?

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Concluded answer

the case was managed with closed reduction of the 5th MC neck fracture and slab application.

All Answers

Multiple injuries Suspicious #head 1st metacarpel 2 #head 5th metacarpel 3 2nd carpel bone adjucent to scaphoid also shows linear # 4 soft tissue injuries ?laceraion at thinner area Yes repair of laceration with close reduction and cast is sufficient

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Xray findings A. Fracture head of the 5 th meatcarpal with ant displacement ? Bennet fracture B. ? Fracture of head of the middle phalanx with flexion deformity of index finger To my opinion fracture head of 5 th meta carpal by close reduction it will be difficult to maitain the position, if finger movements are there nothing to do ? Head of the middle phalanx may need k wire with reduction.

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Well there's only a soft tissue injury with extensor apparatus tear over the mpx region of IF and 5th MC head fracture... Finger ROM is ok...except painful LF MCP extension. So I would like to know the management opinion for the MC head fracture....closed with mould vs k wire fixation.

Fracture 5th metacarpal head Can try closed reduction and pop If check xray not good, plan k wire fixation

the case was managed with closed reduction of the 5th MC neck fracture and slab application.

Fracture of 5th metacarpal head closed reduction pop

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