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Metacarpus

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Sports-related Fractures, Dislocations and Trauma

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Abstract

Metacarpal fractures are common and they are classified according to anatomic location: base, diaphysis, neck, and head. Fracture fragments become displaced and angulated depending on the initial traumatic force and extrinsic forces from the adjacent muscle tendon units attached to the metacarpal. Each metacarpal is unique, therefore allowing more or less angulation, displacement, rotation, and/or shortening. Metacarpal fractures may require closed, percutaneous, or open reduction. The first metacarpal has increased range of motion and function, so treatment and management of these fractures have additional caveats. Patient hand dominance, age, occupation, sport, position, and hobbies need to be considered when managing fractures in order to reduce morbidity and disability.

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Author information

Authors and Affiliations

  1. Longs Peak Family and Sports Medicine, Department of Family and Sports Medicine, University of Colorado School of Medicine, Longmont, CO, USA

    Rebecca A. Myers

  2. Departments of Pediatrics, Orthopedics, and Rehabilitation, Seattle Children’s and University of Washington School of Medicine, Seattle, WA, USA

    Kyle B. Nagle

  3. Department of Family Medicine and Orthopedics, University of Colorado School of Medicine, Denver, CO, USA

    Morteza Khodaee

Authors
  1. Rebecca A. Myers
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  2. Kyle B. Nagle
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  3. Morteza Khodaee
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Corresponding author

Correspondence to Morteza Khodaee .

Editor information

Editors and Affiliations

  1. Department of Family Medicine and Orthopedics, University of Colorado School of Medicine, Denver, CO, USA

    Morteza Khodaee

  2. Department of Emergency and Sports Medicine, The University of Arizona, Tucson, AZ, USA

    Anna L. Waterbrook

  3. Vermont Orthopedic Clinic, Rutland, VT, USA

    Matthew Gammons

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Myers, R.A., Nagle, K.B., Khodaee, M. (2020). Metacarpus. In: Khodaee, M., Waterbrook, A., Gammons, M. (eds) Sports-related Fractures, Dislocations and Trauma. Springer, Cham. https://doi.org/10.1007/978-3-030-36790-9_19

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  • DOI: https://doi.org/10.1007/978-3-030-36790-9_19

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-36789-3

  • Online ISBN: 978-3-030-36790-9

  • eBook Packages: MedicineMedicine (R0)

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