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Right 5th metacarpal fracture with rotational deformity.
Click on the image to see a larger x-ray A key aspect in the evaluation of fractures is the presence or absence of displacement. This girl presents with obvious rotational deformity. Displaced metacarpal fractures require open or closed reduction. Unless there is skin damage or neurovascular compromise, metacarpal fractures can be aligned by splinting and confirmed by x-ray. If significant angulation or shortening persists after splinting and reduction, obtain consultation.
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