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Hand Clin. 2012 Aug;28(3):379-88, x. doi: 10.1016/j.hcl.2012.05.028. Epub 2012 Jun 20.

Fractures of the thumb and finger metacarpals in athletes.

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  • 1Department of Orthopaedic Surgery, Washington University School of Medicine at Barnes-Jewish Hospital, 660 South Euclid Avenue, Campus Box 8233, St Louis, MO 63108, USA.


Most metacarpal fractures are minimally displaced and are treated without surgery. Markedly displaced fractures, fractures causing finger rotation, and displaced intra-articular fractures require surgical intervention. The challenge with the elite athlete is achieving an early return to play without compromising fracture position. Casts, splints, and surgery each have a role in getting the athlete back into action as soon as possible.

Copyright © 2012 Elsevier Inc. All rights reserved.

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