Discharge advice following a 5th metacarpal fracture
Information for patients from the Emergency Department
What is my injury?
You have fractured a bone (5th metacarpal) on the outer part of your hand. The fracture is in a part of the bone which normally heals well and without problems.
-1771598681.jpg)
How will my injury be treated?
The break in your bone is in an overall good position; but will need time to heal. The finger strapping provides support for your fracture while it heals.
The “neighbour” strapping allows a gap over the joints, so your fingers can still bend. We also give some patients a removable splint for extra comfort.
How long will it take to heal?
The pain, tenderness, and swelling in your hand will settle over the next few weeks.
Remove the "neighbour" strapping after a couple of weeks, as your pain allows.
This fracture usually takes 6 weeks to heal. Do not lift anything heavy for up to 8 weeks, so the fracture can heal properly.
As your bone heals, a lump may form at the break site. Also, your knuckle may not be as prominent as before your break.
The Virtual Fracture Clinic will review your injury within a few days. They will let you know if you need any further appointments.
What can I do to help my injury?
Use your hand as normally as possible. Moving your hand is important to stop it from becoming stiff.
A patient's hand grip is generally very good after this type of injury.
When can I return to my normal activities?
You can return to your normal activities when you are able to do the following without any pain.
Make a full fist with your hand.
Fully straighten your fingers.
What if my pain gets worse?
If your pain gets worse or lasts more than 4 weeks, please contact one of the following Virtual Fracture Clinics. The clinic opening times are as follows:
Emergencies only Monday to Friday - 9am to 12.30pm
General enquiries Monday to Friday - 12.30pm to 5pm
| Virtual Fracture Clinic | Contact number | |
|---|---|---|
| Queen Elizabeth the Queen Mother (QEQM) Hospital, Margate | 07929 878283 | ekh-tr.VFCQEQM@nhs.net |
| William Harvey Hospital, Ashford | 07929 878350 | ekh-tr.VFCWHH@nhs.net |