Metacarpal Fracture in Young Adult Following Sports Injury

Case at a Glance

A 26-year-old male chef presented with a metacarpal fracture sustained during recreational American football, requiring immobilization and posing occupational concerns due to his work in food service.

Patient's Story

The patient, a professional chef and barista from the United Kingdom, sustained an injury to his dominant hand while playing American football. He reported immediate pain and deformity following direct trauma to the finger during gameplay. The patient expressed significant concern about his ability to return to work, as his occupation requires fine motor skills and manual dexterity for food preparation and coffee service.

Initial Assessment

Physical examination revealed visible deformity and tenderness over the affected metacarpal. The patient maintained adequate circulation and sensation distally. Range of motion was limited due to pain and swelling. Initial radiographic imaging was obtained to assess the extent of bony injury.

The Diagnostic Journey

Plain radiographs of the hand demonstrated a displaced metacarpal fracture with angulation. The fracture pattern and degree of displacement warranted orthopedic consultation. The imaging revealed sufficient detail to determine that surgical intervention might be required, prompting referral to the plastic surgery department for specialized hand injury management.

Final Diagnosis

Displaced metacarpal fracture of the dominant hand requiring orthopedic management and potential surgical intervention.

Treatment Plan

Initial treatment consisted of immobilization in a fiberglass cast to maintain fracture alignment and prevent further displacement. The patient was referred to the plastic surgery department for specialized evaluation and determination of definitive treatment approach. Pain management with appropriate analgesics was initiated. The patient was advised on cast care and precautions to prevent complications.

Outcome and Follow-up

The patient was scheduled for plastic surgery consultation to determine the optimal treatment duration and assess the need for surgical intervention versus continued conservative management. Return-to-work timeline remained pending specialist evaluation, with particular attention to the patient's occupational requirements in food service. The patient was counseled on the importance of compliance with immobilization and follow-up appointments to ensure optimal healing and functional recovery.