S63.06

Clinical Causes: Direct trauma to the hand, such as crushing injuries or a blow during sports or accidents Falls onto the hand or an outstretched arm Twisting injuries involving the hand or fingers Sports injuries, especially those involving contact sports or high-impact activities Accidental impacts during falls or collisions

Key Symptoms: Sudden pain at the base of the hand or wrist Swelling around the affected area Deformity or an abnormal bump on the back of the hand Limited or painful movement of the fingers and thumb Bruising or discoloration around the injury Tenderness to touch over the affected area

Diagnosis Path: Diagnosis typically involves a physical examination where healthcare providers assess the hand for deformity, swelling, and tenderness. To confirm the injury and determine its severity, imaging tests such as X-rays are commonly performed. These images can help visualize the position of the metacarpal and identify any dislocation or subluxation details, guiding appropriate treatment planning.

Treatment Protocols: The management of a proximal metacarpal subluxation or dislocation depends on the severity of the injury. Generally, treatment options include: - **Reduction procedures**: A healthcare professional may realign the bone through manual manipulation, often performed under local anesthesia. - **Immobilization**: Following reduction, the hand may be immobilized using a splint or cast to keep the bones in place during healing. - **Pain management**: Over-the-counter pain relievers or prescribed medications help alleviate discomfort. - **Physical therapy**: Once healing progresses, therapy exercises can restore strength and motion. - **Surgical intervention**: In cases where the bones cannot be realigned manually or are unstable, surgical procedures might be necessary to secure the bones with pins, screws, or plates. Recovery times vary based on the injury's severity and treatment approach, but proper care is vital to regain hand function and prevent long-term complications.