![]() A review of the athlete also took place to optimize their nutrition and to modify any lifestyle risk factors, which could lead to inadequate bone healing.įractures of the metacarpal head are by definition intra‐articular and are rarer than fractures involving the distal parts of the bone. Following review and discussion with a hand surgeon, a metacarpal thermoplastic splint was given to the athlete (including the wrist and the distal interphalangeal joint). An X‐ray (Figure 1) showed an impacted fracture of the head of the metacarpal, and an MRI (Figure 2) confirmed not only the fracture but also a noncomplete oblique fracture. ![]() Subsequently, swelling and bruising developed within the first two hours with no significant deterioration of pain but limited flexion. On subsequent examination, there were negative cascade and flexion cascade signs with a lax collateral ligament and pain on movement. Initial management involved buddy strapping, and the athlete decided to carry on with training and later played in a one‐day international (ODI) game. On initial assessment, the only notable initial symptom was mild metacarpophalangeal joint (MCPJ) swelling, with normal function, no obvious deformity and unaffected neurovascular status. Her fifth digit stubbed the ground, and she landed on her hand while catching an awkward ball. We present a case of a fit and healthy 19‐year‐old female professional cricketer who developed nondominant traumatic hand pain while fielding as part of a prematch warm‐up. 4 Here, we present a case in a young athlete, who successfully rehabilitated and returned to sport with conservative management. 4 A recent systematic review showed no difference in patient‐reported radiograph or clinical outcomes at 12 months for patients with 5th MCP neck fractures between surgical and conservative strategies, and therefore considering surgical risk, a conservative management strategy may often be optimal. There is a paucity of clinical research surrounding management of the 5th MC neck fractures and return to sport in professional athletes, despite this being a frequent upper limb injury. Management of fractures to the metacarpal bones of the hand is decided on both the clinical examination and radiological findings. 2 Most typical 5th MC fractures involve shaft fracture (oblique or transverse), and debate about best management is widespread among the literature. 1 These injuries usually occur in a young, active population and if left inappropriately managed can lead to weakened fifth grip initiation and diminished hand function. They are common upper extremity injuries in adults, and fractures of the metacarpal are the most common type of hand fractures accounting for up to 40% of injuries. The traumatic fifth metacarpal (5th MC) fractures and collateral ligament injuries are often caused by punching injury or a direct blow from a fall or crush injury. ![]() ![]() ![]() Following immobilization, she returned to baseline within six weeks using nonsurgical management. We present a case of a professional cricketer with a fifth metacarpal head fracture, who played a match before pain made the injury obvious. Diagnosis of fifth metacarpal head fracture with collateral ligament injuries can be difficult. ![]()
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