case_images: PMC10823819_01
case_images: Pre-operative radiograph of left hand showing displaced avulsed 5th metacarpal base along with shaft fracture.
case_images: JOCR-14-160-g001.jpg
case_images: PMC10823819_01_JOCR-14-160-g001.jpg
case_images: F1
case_images: X-rays showed a left 5th metacarpal shaft with a displaced avulsed base fracture (Fig. 1) and an undisplaced 5th metacarpal base fracture along with a volar Barton fracture on the right side (Fig. 2).
case_images: Computed tomography of right wrist coronal (a), sagittal (b), axial (c), and 3D image (d) showing volar ulnar corner of distal radius fracture (arrow).
case_images: JOCR-14-160-g003.jpg
case_images: PMC10823819_01_JOCR-14-160-g003.jpg
case_images: F3
case_images: A CT right wrist confirmed a fracture involving the volar ulnar corner of the distal radius (Fig. 3).
case_images: Post operative radiograph of left hand showing avulsed fracture fragment along with shaft fracture was reduced and stabilized using k-wire (arrow).
case_images: JOCR-14-160-g004.jpg
case_images: PMC10823819_01_JOCR-14-160-g004.jpg
case_images: F4
case_images: In keeping the fracture in reduction, a 1.5-mm K-wire was inserted to stabilize the avulsed fragment along with the shaft fracture (Fig. 4).
case_images: Post operative radiograph of right hand showing volar Barton fracture addressed using locking plate and screw (arrow).
case_images: JOCR-14-160-g005.jpg
case_images: PMC10823819_01_JOCR-14-160-g005.jpg
case_images: F5
case_images: Fracture is reduced and buttressed using a L-plate with screws (Fig. 5).
case_images: At 12 week radiographs, left hand anteroposterior (a) and oblique view (b) showing fracture yet to consolidate (arrow).
case_images: JOCR-14-160-g006.jpg
case_images: PMC10823819_01_JOCR-14-160-g006.jpg
case_images: F6
case_images: At 12 weeks, he had nearly symmetric wrist strength and range of motion, with no functional deficits (Fig. 6).
case_images: At 7month follow up radiograph showed united right hand and wrist fracture and non-union at the base of left 5th metacarpal (arrow).
case_images: JOCR-14-160-g007.jpg
case_images: PMC10823819_01_JOCR-14-160-g007.jpg
case_images: F7
case_images: At 7month follow up, though the radiograph showed no-union at the fracture site (Fig. 7) clinically, he had full range of hand, wrist movements and adequate grip strength (Fig. 8).