ORT053 Advice After A 5th Metacarpal Fracture

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Fracture Clinic Patient Information Leaflet

th
Advice after a 5
Metacarpal Fracture
The Injury
A fracture is the same as a break in the bone. Your hand is made up of several
small bones including five metacarpal bones that connect the fingers to the wrist.
You have fractured the fifth metacarpal below the little finger. This is a common
fracture.

The common symptoms following this type


of injury include:

 Pain straight after an injury


 Swelling
 Bruising
 Deformity at the site of injury
 Difficulty moving the hand and gripping

What happens now?


You may be put in a plaster cast or given a splint to support your finger, some
people will have the injured finger strapped instead but this will depend on the type
of fracture you have.

These injuries normally heal by themselves with time but do occasionally need
surgery. You will be given an appointment to return to the fracture clinic for follow
up if needed.
ADVICE AFTER A 5TH METACARPAL FRACTURE

What should I do at home?


 Use over the counter pain killers as needed
 Elevate the injured hand on pillows when resting to help reduce swelling
 You can return to work or school as soon as pain allows and you can do your
normal light duties. Avoid loading the hand heavily for six weeks.
 You should not drive whilst in a plaster cast
 You should avoid sport and games for at least six weeks after the injury

How long will it take to heal?


Most fractures heal without any problems in about eight weeks. However, it may
take several months for your symptoms to settle completely. These can include
pain or discomfort, stiffness, decreased strength and swelling. Some people may
notice a bump on the back of the hand where the fracture occurred but this
shouldn’t affect hand function. The bones may take longer to heal if you suffer
from diabetes or if you smoke.

For advice on stopping smoking please visit www.nhs.uk/smokefree or discuss this


with your GP.

Exercises
You should try to do these exercises three to four times a day; you can start these
immediately.

Date of publication January 2020 Ref: RUH ORT/053


© Royal United Hospitals Bath NHS Foundation Trust Page 2 of 3
ADVICE AFTER A 5TH METACARPAL FRACTURE

If you have any worries or concerns please contact one of the following:
Virtual Fracture Clinic Helpline 01225 821668 or Fracture Clinic 01225 825602

Royal United Hospitals Bath NHS Foundation Trust


Combe Park, Bath BA1 3NG
01225 428331 www.ruh.nhs.uk

Please contact the Patient Advice and Liaison Service (PALS) if you require this
leaflet in a different format, or would like to feedback your experience of the
hospital. Email [email protected] or telephone
01225 825656 or 826319.

Date of publication January 2020 Ref: RUH ORT/053


© Royal United Hospitals Bath NHS Foundation Trust Page 3 of 3

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