Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with right hand pain and swelling following a closed-fist strike injury. Reports localized pain at the ulnar aspect of the hand, aggravated by movement. Denies numbness, tingling, or open wounds. No prior history of hand trauma.
Clinical Examination Findings
Right hand: Significant edema and ecchymosis noted over the 5th metacarpal neck. Tenderness to palpation at the 5th metacarpal shaft. Scissoring deformity absent. 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 5th metacarpal neck. Ulnar gutter splint applied in intrinsic-plus position. Patient instructed on elevation and ice application. Orthopedic follow-up scheduled for repeat imaging in 7-10 days to assess alignment. Analgesics prescribed for pain management.