Understanding metacarpal fractures 

Metacarpal fractures refer to breaks or fractures in the metacarpal bones, the long bones that make up the palm and base of the fingers. These fractures can vary in severity, ranging from simple hairline cracks to more complex and displaced fractures. 

Causes of metacarpal fractures 

Metacarpal fractures can result from various factors, including: 

Trauma: Direct trauma or impact to the hand, such as a fall or a sports-related injury, can lead to metacarpal fractures. 

Crushing injuries: Occupational accidents, machinery mishaps, or heavy object accidents can cause metacarpal fractures. 

Punching: Forceful punching can sometimes result in metacarpal fractures, often referred to as "boxer's fractures." 

Symptoms of metacarpal fractures 

Identifying the symptoms of a metacarpal fracture is essential for early diagnosis and appropriate treatment. Common signs include: 

Pain and swelling: Pain and swelling in the affected hand or fingers. 

Bruising: Bruising or discoloration around the injured area. 

Deformity: Visible misalignment or deformity of the hand or fingers. 

Difficulty moving: Difficulty moving the hand or fingers, especially if the fracture is severe. 

Tenderness: Tenderness and pain when touching the injured area. 

Treatment of metacarpal fractures 

The treatment of metacarpal fractures depends on factors like the location and severity of the fracture. Common approaches include: 

Consult with an expert: An Accredited Hand Therapist is a physiotherapist or occupational therapist with expertise in the finger, hand, wrist, elbow, and shoulder.

Immobilisation: Immobilising the injured hand and fingers with an orthosis or cast to allow the bones to heal. 

Reduction: If the fracture results in misalignment, a healthcare provider may perform a procedure called "reduction" to realign the bones. 

Surgery: In severe or displaced fractures, surgical intervention may be necessary to realign and stabilise the bones with pins, screws, or plates. 

Pain management: Medication, elevation, and rest may help manage the discomfort during the healing process. 

Rehabilitation exercise: After the initial healing phase, an Accredited Hand Therapist may prescribe exercises to improve hand strength, flexibility, and range of motion. 

Lifestyle modifications: Making changes in daily activities and using assistive devices can help minimise strain on the healing hand. 

Recovery

The recovery period for metacarpal fractures can vary depending on the severity of the injury and the chosen treatment approach. It's essential to follow your healthcare provider's recommendations and engage in prescribed exercises to aid healing. 

During the recovery phase, it's important to: 

Keep the injured hand elevated to reduce swelling. 

Avoid strenuous activities that could re-injure the hand. 

Attend follow-up appointments with your healthcare provider to monitor progress. 

Communicate any concerns or unusual symptoms with your hand therapy practitioner promptly. 

With time and proper care, you can regain the strength and functionality of your hand, allowing you to return to your normal activities with confidence.

Find a local Accredited Hand Therapist

Patients can find a local Accredited Hand Therapist on our website using the link below.

Find an Accredited Hand Therapist