Metacarpal Head Fx

  Initial Treatment
Splint type & position Gutter splint: wrist, 30 degrees of extension;
metacarpophalangeal, 70 to 90 degrees; proximal
interphalangeal or DIP, 5 to 10 degrees; or bulky hand dressing
Initial follow-up visit 1 week
Pt instructions Icing, elevation of hand above level of heart
  Follow-up Care
Cast or Splint type & position Gutter splint
Length of immobilization 2 to 3 weeks
Healing time 4 to 6 weeks
Follow-up visit interval Every 2 weeks
Repeat radiography interval 1 week after injury to check for alignment
At completion of immobilization to document healing
Pt instruction Begin active ROM exercises after immobilization
Indications for orthopedic consult Displaced fractures
Comminuted fracture

Return to Work or Sports