Metacarpal neck fractures are mostly reduced in A&E or in fracture clinic. Once the cast is applied a simple technique is described to locate the metacarpal head. On the uninjured hand, measurement is taken from the tip of corresponding finger to the metacarpal head. This measurement is transferred on to the cast for further reduction and moulding. This technique provides a reliable outcome.
Lancashire Teaching Hospital NHS Foundation Trust, Preston, UK
The authors declare that they have nothing to disclose.
For reprint requests, or additional information and guidance on the techniques described in the article, please contact Rajavelu Chinnusamy, MBBS, MS (Ortho), MRCS (Ed), MCh (Ortho), FRCS (Tr&Ortho), at or by mail at KMCH SULUR Hospital, Trichy Road, Sulur 641402, India. You may inquire whether the author(s) will agree to phone conferences and/or visits regarding these techniques.