Non-thumb metacarpal fracture (base) - Revision history

Neil.m.young: Text replacement - "* " to "*"

2016-10-27T16:17:14Z

Text replacement - "* " to "*"

← Older revision		Revision as of 16:17, 27 October 2016
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	==Background==		==Background==
	*Reverse Bennett: fracture of fifth metacarpal base, with extensor carpi ulnaris traction on distal metacarpal while proximal fragment still algined with carpals		*Reverse Bennett: fracture of fifth metacarpal base, with extensor carpi ulnaris traction on distal metacarpal while proximal fragment still algined with carpals
	** See [[Thumb fracture]] for Bennett fracture		**See [[Thumb fracture]] for Bennett fracture

	==Clinical Features==		==Clinical Features==

Rossdonaldson1 at 11:13, 16 October 2016

2016-10-16T11:13:59Z

← Older revision		Revision as of 11:13, 16 October 2016
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	** See [[Thumb fracture]] for Bennett fracture		** See [[Thumb fracture]] for Bennett fracture

	==~~Examination~~==		==Clinical Features==
	*Movement at the wrist elicits pain		*Movement at the wrist elicits pain
	*Assess for ulnar deficits (finger abduction/adduction)		*Assess for ulnar deficits (finger abduction/adduction)
	*Assess for rotational alignment		*Assess for rotational alignment

	==~~Imaging~~==		==Differential Diagnosis==
	*AP, lateral, oblique		{{Hand and finger fractures DDX}}

			==Evaluation==
			*Xray hand: AP, lateral, oblique
	*30 deg obliques pronated and supinated if usual films unable to visualize the MC bases		*30 deg obliques pronated and supinated if usual films unable to visualize the MC bases
	*Consider CT if index of suspicion high for occult fracture despite "negative" plain films		*Consider CT if index of suspicion high for occult fracture despite "negative" plain films

	~~==Differential Diagnosis==~~
	~~{{Hand and finger fractures DDX}}~~

	==Management==		==Management==

Ted Fan: added background

2016-10-11T14:04:14Z

added background

← Older revision		Revision as of 14:04, 11 October 2016
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			==Background==
			*Reverse Bennett: fracture of fifth metacarpal base, with extensor carpi ulnaris traction on distal metacarpal while proximal fragment still algined with carpals
			** See [[Thumb fracture]] for Bennett fracture

	==Examination==		==Examination==
	*Movement at the wrist elicits pain		*Movement at the wrist elicits pain
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	**Dislocation of metacarpal base CMC joint;		**Dislocation of metacarpal base CMC joint;
	**Ulnar nerve injury		**Ulnar nerve injury
	**5th metacarpal base fracture (typically require sx)		**5th metacarpal base fracture (typically require surgery)

	==See Also==		==See Also==

Rossdonaldson1: Text replacement - "fx" to "fracture"

2016-07-08T12:28:19Z

Text replacement - "fx" to "fracture"

← Older revision		Revision as of 12:28, 8 July 2016
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	==Disposition==		==Disposition==
	*Refer for:		*Refer for:
	**Intraarticular fx		**Intraarticular fracture
	**Extraarticular fracture with malrotation		**Extraarticular fracture with malrotation
	**Dislocation of metacarpal base CMC joint;		**Dislocation of metacarpal base CMC joint;

Neil.m.young: Text replacement - "* " to "*"

2016-07-08T09:44:26Z

Text replacement - "* " to "*"

← Older revision		Revision as of 09:44, 8 July 2016
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	==Examination==		==Examination==
	* Movement at the wrist elicits pain		*Movement at the wrist elicits pain
	* Assess for ulnar deficits (finger abduction/adduction)		*Assess for ulnar deficits (finger abduction/adduction)
	* Assess for rotational alignment		*Assess for rotational alignment

	==Imaging==		==Imaging==
	* AP, lateral, oblique		*AP, lateral, oblique
	* 30 deg obliques pronated and supinated if usual films unable to visualize the MC bases		*30 deg obliques pronated and supinated if usual films unable to visualize the MC bases
	* Consider CT if index of suspicion high for occult fracture despite "negative" plain films		*Consider CT if index of suspicion high for occult fracture despite "negative" plain films

	==Differential Diagnosis==		==Differential Diagnosis==
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	==Management==		==Management==
	* Dorsal and [[Forearm Volar Splint‎]] with the wrist in 30 deg of extension and MCP joints free		*Dorsal and [[Forearm Volar Splint‎]] with the wrist in 30 deg of extension and MCP joints free

	==Disposition==		==Disposition==
	* Refer for:		*Refer for:
	** Intraarticular fx		**Intraarticular fx
	** Extraarticular fracture with malrotation		**Extraarticular fracture with malrotation
	** Dislocation of metacarpal base CMC joint;		**Dislocation of metacarpal base CMC joint;
	** Ulnar nerve injury		**Ulnar nerve injury
	** 5th metacarpal base fracture (typically require sx)		**5th metacarpal base fracture (typically require sx)

	==See Also==		==See Also==

Neil.m.young: Text replacement - "==Treatment==" to "==Management=="

2016-07-07T22:13:39Z

Text replacement - "==Treatment==" to "==Management=="

← Older revision		Revision as of 22:13, 7 July 2016
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	{{Hand and finger fractures DDX}}		{{Hand and finger fractures DDX}}

	==~~Treatment~~==		==Management==
	* Dorsal and [[Forearm Volar Splint‎]] with the wrist in 30 deg of extension and MCP joints free		* Dorsal and [[Forearm Volar Splint‎]] with the wrist in 30 deg of extension and MCP joints free

Neil.m.young: Text replacement - "fx " to "fracture "

2016-07-03T01:01:35Z

Text replacement - "fx " to "fracture "

← Older revision		Revision as of 01:01, 3 July 2016
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	* AP, lateral, oblique		* AP, lateral, oblique
	* 30 deg obliques pronated and supinated if usual films unable to visualize the MC bases		* 30 deg obliques pronated and supinated if usual films unable to visualize the MC bases
	* Consider CT if index of suspicion high for occult fx despite "negative" plain films		* Consider CT if index of suspicion high for occult fracture despite "negative" plain films

	==Differential Diagnosis==		==Differential Diagnosis==
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	* Refer for:		* Refer for:
	** Intraarticular fx		** Intraarticular fx
	** Extraarticular fx with malrotation		** Extraarticular fracture with malrotation
	** Dislocation of metacarpal base CMC joint;		** Dislocation of metacarpal base CMC joint;
	** Ulnar nerve injury		** Ulnar nerve injury
	** 5th metacarpal base fx (typically require sx)		** 5th metacarpal base fracture (typically require sx)

	==See Also==		==See Also==

Neil.m.young: Text replacement - "==Source== " to "==References== "

2016-06-25T16:36:01Z

Text replacement - "==Source== <references/>" to "==References== <references/>"

← Older revision		Revision as of 16:36, 25 June 2016
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	*[[Hand and finger fractures]]		*[[Hand and finger fractures]]

	==~~Source~~==		==References==
	<references/>		<references/>

	[[Category:Orthopedics]]		[[Category:Orthopedics]]

Ostermayer: Text replacement - "Category:Ortho" to "Category:Orthopedics"

2016-03-22T15:47:44Z

Text replacement - "Category:Ortho" to "Category:Orthopedics"

← Older revision		Revision as of 15:47, 22 March 2016
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	<references/>		<references/>

	[[Category:~~Ortho~~]]		[[Category:Orthopedics]]

Rossdonaldson1: Created page with "==Examination== * Movement at the wrist elicits pain * Assess for ulnar deficits (finger abduction/adduction) * Assess for rotational alignment ==Imaging== * AP, lateral, obl..."

2015-01-10T08:13:25Z

Created page with "==Examination== * Movement at the wrist elicits pain * Assess for ulnar deficits (finger abduction/adduction) * Assess for rotational alignment ==Imaging== * AP, lateral, obl..."

New page

==Examination==
* Movement at the wrist elicits pain
* Assess for ulnar deficits (finger abduction/adduction)
* Assess for rotational alignment

==Imaging==
* AP, lateral, oblique
* 30 deg obliques pronated and supinated if usual films unable to visualize the MC bases
* Consider CT if index of suspicion high for occult fx despite "negative" plain films

==Differential Diagnosis==
{{Hand and finger fractures DDX}}

==Treatment==
* Dorsal and [[Forearm Volar Splint‎]] with the wrist in 30 deg of extension and MCP joints free

==Disposition==
* Refer for:
** Intraarticular fx
** Extraarticular fx with malrotation
** Dislocation of metacarpal base CMC joint;
** Ulnar nerve injury
** 5th metacarpal base fx (typically require sx)

==See Also==
*[[Hand and finger fractures]]

==Source==
<references/>

[[Category:Ortho]]