Metacarpal subluxation and thumb fracture

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A year old male presents to the ED after landing on his right thumb while playing football with some friends. The pain and swelling became progressively worse as he notes pain with any movement of his thumb. He is right hand dominant, a non-smoker, and works as an analyst at a large bank. On exam, the right MCP joint is edematous with point tenderness and ecchymosis, though the skin is closed. Answer: 1 st Metacarpal Base Fracture A year-old woman presents with right thumb pain.
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First Metacarpal

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Bennett's fracture - Wikipedia

Accidents involving motor vehicles have the potential to cause injuries of all types, including joint dislocations involving the hand, such as the metacarpophalangeal joint. When people think about injuries involving bones, bone fractures likely come to mind; however, traumatic injuries to the extremities can also involve joint dislocations. The metacarpophalangeal joint is the joint that connects the metacarpals to the fingers which protrude from the palm of the hand. A dislocation involving this joint can either involve the thumb or one of the fingers, giving this injury its name. These injuries are relatively rare because the joints are protected by ligaments, tendons, and bones in the immediate area.
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Nonoperative treatment

This is an oblique fracture of the base of the first metacarpal the thumb with associated subluxation and fracture of the carpometacarpal articular surfaces. It is the most common fracture to affect the thumb and is a serious injury. It is an intra-articular fracture subluxation and failure to treat it quickly and appropriately can lead to much disability through disruption of the pinching and opposition functions of the thumb. Closed reduction and thumb spica cast immobilization are effective in the treatment of Bennett fractures if the reduction can be maintained.
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The metacarpal bones are the five long bones in the hand. Any of these bones can be broken or fractured. The the 1st metacarpal under the base of the thumb is the most commonly injured. Here we explain the different hand fractures and how they are treated.
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