Teaching file series
Ultrasound Division


ULTRA SONOGRAPHY FILE
MUSCULO-SKELETAL

Last Next

OBLIQUE FRACTURE OF 5TH METACARPEL BONE.


 Click on the following Image for a closer, enlarged look . . .

FRACTURE 5TH METACARPEL BONE - U/S
FRACTURE 5TH METACARPEL BONE X RAY

CLINICAL FEATURES : 70 years male, presented with swelling in the medial portion of dorsum of hand.

TECHNICAL VIEW : High resolution (H.R.)sonographic (Longitudinal )sectional study of shaft of 5th metacarpel bone.Linear probe with 7.5 Mhz.

SONOGRAPHIC  FINDINGS :   A clear discontinuty  in the shaft of  5th metacarpal bone with over lapping of fragments. Metacarpo-phalangeal joint dynamics normal.Soft tissue swelling +.

DIAGNOSIS :  Oblique fracture of the shaft of the 5th metacarpal bone with intact articular surface.

DISCUSSION :   H.R.sonography  clearly delinates  fractures, type (intact/oblique/comminuated)of fractures, nature(old/recent) of fracture, information about articular surface involment,any intervening soft tissue between fragments. Sonography is more useful in evaluating superficial bones like metacarpals,metatarsals,phalanges, ribs, forearm & leg bone (in thin persons). H.R.sonograghy is useful to evaluate union of the fractured fragments.

SUBMITTED BY :  DR.M.Adinarayana rao. M.D.(Radio-diagnosis)

 



2000 Rdaiologyworld.com