Fracture of the first metacarpal bone

Description of a fracture of the first metacarpal bone

Fracture the first metacarpal bone – common name for a fracture of the long bones, that connects the little finger to the wrist. With this type of fracture can be formed more fragments. This is called a comminuted fracture. Besides, the fracture can be:

  • Closed fracture – bone is broken, but the skin is intact;
  • Open fracture – fracture accompanied by rupture of the skin.

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The reasons for the fracture of the first metacarpal bone

The most common cause is a blow against a hard object while boxing or wrestling training.

Factors fracture of the first metacarpal bone

Factors, that increase the likelihood of fracture of the first metacarpal bone:

  • Contact sports (boxing, martial arts);
  • Advanced age;
  • Postmenopausal;
  • Osteoporosis;
  • Violence.

Symptoms of a fracture of the first metacarpal bone

These symptoms, in addition to the fracture of the first metacarpal bone, They may be caused by other disorders. Tell your doctor, if you have any of them:

  • Swelling;
  • Pain;
  • Strain;
  • Limited range of motion;
  • Arthrophyma (may occur even after treatment).

Diagnosis of a fracture of the first metacarpal bone

The doctor asks about the symptoms and medical history, and perform a physical exam. Inspect the injured finger. Tests may include:

  • Analysis of the range of motion of hand and fingers;
  • Roentgen – test, which uses radiation, to take a picture of structures in the body, most bones.

Treatment of fracture of the first metacarpal bone

Treatment of the fracture, usually, quite effectively, but on the hand may remain in the form of swelling buds and little decrease range of motion. Treatment options include:

Home Care

  • Recreation – to speed up the healing of fractures in the hand is put in plaster. You will need to limit the movement of broken hand;
  • Ice – Apply ice or a cold compress to the area of ​​injury within 15-20 minutes, four times a day. Do this for several days after the injury. Wrap the ice in a towel, do not put it directly to the skin. This will reduce swelling;
  • Keeping your hands in the raised position – to relieve swelling and pain, put your hand on a pillow, when you are sitting or lying down.


If bones are displaced, It may be carried out reposition the bones for proper healing. Once the bones are in place, You will need to wear a tire or gypsum for about six weeks,.


Your doctor may recommend taking:

  • Nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, Ibuprofen);
  • Analgesic (eg, paracetamol);
  • Antibiotics, to prevent infection (if you have an open fracture).


Your doctor may recommend exercises to increase range of motion and strengthening exercises after healing of the fracture. You may also be directed to a physical therapist.

Prevention of fracture of the first metacarpal bone

To prevent fractures of the first metacarpal bone:

  • Avoid situations, where violence may occur;
  • Exercise regularly to strengthen bones and muscles.

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