What causes a lump on fractured metacarpal with the cast?
Patient: about a week and a half back i had a fracture to my fifth metacarpal and a cast back slab was installed. yesterday had if remove for cleaning and found that their is a huge lump feel like bone and it still swollen and very painful when touching it. is the bone set right and hear noise grinding moving my small finger back and fort. Doctor: Hi ! Good evening. I am Dr Shareef answering your query.Usually this kind of metacarpal fractures heal well with splintages. However, in case you are getting pain along with a swelling, it could be a major displaced fracture, and might need an expert opinion and management by an orthopedic surgeon with whom you should take an appointment to get it fixed. Till then, you could go for an anti inflammatory drug along with a proton pump inhibitor accompanied by elevation of the hand.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef.