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Wednesday, August 20, 2008
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Right 5th metacarpal fracture with rotational deformity.

pic of her hands

Click on the image to see a larger x-ray

A key aspect in the evaluation of fractures is the presence or absence of displacement (abnormal placement of the bone fragments). This girl presents with obvious rotational deformity. Displaced metacarpal fractures require open or closed reduction. Unless there is skin damage or neurovascular compromise, metacarpal fractures can be aligned by splinting and confirmed by x-ray. If significant angulation of bone fragments or shortening persists after splinting and setting, obtain consultation.

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