Metacarpal Fractures in the Athletes

  • Alistair R. Phillips
  • David G. HargreavesEmail author
Part of the In Clinical Practice book series (ICP)


Metacarpal fractures are common injuries and most are amenable to non-operative treatment. There are however specific fracture patterns and deformity which would warrant surgical intervention. Clinical assessment of rotation deformity is critical. Plain radiographs should suffice to delineate most fracture patterns, but the basal injuries may benefit from CT scanning. Timely and appropriate treatment should allow most athletes to return to play at the pre-injury level.


Metacarpal fracture Boxer’s fracture Metacarpal head Metacarpal shaft Metacarpal base 


  1. 1.
    Bansal R, Craigen MAC. Rotational alignment of the finger nails in a normal population. J Hand Surg Eur Vol. 2007;32(1):80–4.CrossRefGoogle Scholar
  2. 2.
    Browner BD. Skeletal trauma: basic science, management, and reconstruction. Philadelphia: Elsevier Health Sciences; 2009.Google Scholar
  3. 3.
    De Jonge JJ, Kingma J, Van der Lei B, Klasen HJ. Fractures of the metacarpals. A retrospective analysis of incidence and aetiology and a review of the english-language literature. Injury. 1994;25(6):365–9.CrossRefGoogle Scholar
  4. 4.
    Ford DJ, Ali MS, Steel WM. Fractures of the fifth metacarpal neck: is reduction or immobilisation necessary? J Hand Surg Eur. 1989;14(2):165–7.CrossRefGoogle Scholar
  5. 5.
    Freeland AE. Hand fractures: repair, reconstruction, and rehabilitation. Philadelphia: Churchill Livingstone; 2000.Google Scholar
  6. 6.
    Green DP, Hotchkiss RN, Pederson WC, Wolfe SW, Roselius E. Green’s operative hand surgery. Philadelphia: Churchill livingstone; 2005.Google Scholar
  7. 7.
    Hove LM. Fractures of the hand. Distribution and relative incidence. J Plast Surg Hand Surg. 1993;27(4):317–9.Google Scholar
  8. 8.
    Jahss SA. Fractures of the metacarpals; a new method of reduction and immobilization. J Bone Joint Surg Am. 1938;20(1):178–86.Google Scholar
  9. 9.
    Khan A, Giddins G. The outcome of conservative treatment of spiral metacarpal fractures and the role of the deep transverse metacarpal ligaments in stabilizing these injuries. J Hand Surg Eur Vol. 2015;40(1):59–62.CrossRefGoogle Scholar
  10. 10.
    Lahey PJ, Patel A, Kang KK, Patel MR, Choueka J. Assessing rotational deformity of the little finger. Orthopedics. 2011;34(7):519.Google Scholar
  11. 11.
    Lamraski G, Monsaert A, De Maeseneer M, Haentjens P. Reliability and validity of plain radiographs to assess angulation of small finger metacarpal neck fractures: human cadaveric study. J Orth Res. 2006;24(1):37–45.CrossRefGoogle Scholar
  12. 12.
    Shewring DJ, Thomas RH. Collateral ligament avulsion fractures from the heads of the metacarpals of the fingers. J Hand Surg Eur Vol. 2006;31(5):537–41.CrossRefGoogle Scholar
  13. 13.
    Tan V, Kinchelow T, Beredjiklian PK. Variation in digital rotation and alignment in normal subjects. J Hand Surg Am. 2008;33(6):873–8.CrossRefGoogle Scholar

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© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of OrthopaedicsUniversity Hospital Southampton NHS Foundation TrustSouthamptonUK

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