Ortho Pearls: Metacarpal Fracture Management
Cook County EM Blog
JUNE 2, 2022
If there are no indications for surgery, the patient can be immobilized in a cast for four weeks with good outcomes. Why it Matters: Fractures of the second through fourth metacarpals should initially be managed by attempting closed reduction with splinting in either a palmar wrist splint or an ulnar gutter splint.
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