Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with left hand pain following acute trauma to the ulnar aspect of the hand. Reports localized swelling, ecchymosis, and difficulty with digit flexion. Denies neurovascular compromise, numbness, or tingling in the distal digits. Mechanism of injury consistent with a closed-fist impact.
Clinical Examination Findings
Left hand examination reveals localized tenderness, edema, and ecchymosis over the fifth metacarpal neck. No open wounds or skin tenting noted. Neurovascular status intact: capillary refill <2 seconds, radial pulse 2+, sensation intact to light touch in ulnar nerve distribution. Range of motion limited by pain.
Treatment Protocol
Radiographs confirm closed fracture of the fifth metacarpal neck. Immobilization initiated with an ulnar gutter splint. Patient advised on elevation, ice application, and strict avoidance of weight-bearing or gripping. Follow-up scheduled for repeat imaging in 7-10 days to assess alignment.