Pediatric Metacarpal Neck Fractures

  • Krister Freese
Living reference work entry


This chapter will cover the treatment of metacarpal neck fractures. Metacarpal neck fractures are among the most common pediatric hand fracture. Treatment is frequently conservative. However, in some scenarios, surgical intervention is preferred. Rotational and angular deformities may have a detrimental effect on hand function if left untreated. When present, closed reduction and immobilization or surgical fixation may be indicated. In the following text, we will discuss the successful management of a metacarpal neck fracture.

References and Suggested Reading

  1. Davison PG, Boudreau N et al (2016) Forearm-based ulnar gutter versus hand-based thermoplastic splint for pediatric metacarpal neck fractures: a blinded, randomized trial. Plast Reconstr Surg 137(3): 908–916CrossRefPubMedGoogle Scholar
  2. Kozin SH, Waters PM (2010) Fractures and dislocations of the hand and carpus in children. In: Beaty JH, Kasser JR (eds) Rockwood & Wilkins’ fractures in children, 7th edn. Lippincott Williams & Wilkins, Philadelphia, pp 225–291Google Scholar
  3. Vadivelu R et al (2006) Hand injuries in children: a prospective study. J Pediatr Orthop 26(1):29–35CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Division of Orthopaedic SurgeryShriners Hospitals for Children – PortlandPortlandUSA

Section editors and affiliations

  • Jennifer M. Ty
    • 1
  1. 1.Department of Orthopedic SurgeryNemours: Alfred I. duPont Hospital for ChildrenWilmingtonUSA

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