Metacarpal Fractures: Anatomy, Injuries and Treatment-AM13: Complications of Metacarpal Fractures

Video Transcription

Video Summary

The speaker expresses gratitude for being part of a panel on managing metacarpal fractures. They discuss the expected and unexpected complications that may arise during the treatment of these fractures. They emphasize that most metacarpal fractures are closed, simple, and stable, and can be managed with minimal splinting and early mobilization. They mention common complications including nonunion, malunion, extensor lag, and stiffness. The speaker cites various studies that highlight the prevalence of these complications and the success rates of different treatment approaches such as plate fixation and percutaneous pinning. They also discuss the management of infections, osteomyelitis, and non-unions, as well as the importance of addressing malrotation and angulation. The speaker concludes by noting that while surgical interventions such as kineolysis and capsulotomy may improve range of motion, the gains are often modest.

Keywords

panel discussion

metacarpal fractures

complications

treatment approaches

surgical interventions