The metacarpal bones are the 5 bones in the palm aspect of the hand, between the wrist and fingers. A break in these bones is usually a result of a trauma, such as punching or a direct blow. These fractures are common in martial arts and boxing. Other common causes are from falling onto the hand or sports injuries. Metacarpal fractures also occur at work when there is a large object dropped on the hand.
A fracture is diagnosed with an x-ray to see the alignment of the bones. Dr. Azouz will also check to see if the bone is misplaced or angled. For a minor hairline fracture, conservative treatment including rest, ice, compression, and elevation along with splinting and pain medications usually resolve the pain and allows the fracture to heal. However, if the fracture is displaced, surgery is required to re-align the bones and repair the fracture.
Dr. Azouz will re-align the affected metacarpal bone and may place screws, pins, or plates to help hold the alignment in place. He will also repair any nearby injured tendons, muscles, ligaments, nerves, or blood vessels.
For most hand surgeries, Dr. Azouz uses sedation and local anesthesia. His patients are sedated in a deep sleep. He will then inject an axillary block which numbs the arm and controlled pain for a prolonged period, lasting between 8-24 hours.
After the procedure, Dr. Azouz places a splint over the hand and wrist to allow the bones to heal. He will see patients soon after surgery in his office to monitor their progress and assess how their hand is healing. He may recommend hand therapy to help regain range of motion and strength in the hand.
Surgical costs range broadly and depend on many factors. Dr. Azouz will start with a medical history and physical examination. If there is a work-related injury, workers’ compensation carriers usually cover medical costs.
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