History: 30 year-old right-hand dominant male Sheriff impacted his left hand on concrete while wrestling a suspect. He had immediate pain and swelling over the base of the index finger. X-rays showed a metacarpal fracture with displacement and angulation resulting in severe pain, swelling, and deformity.
Diagnosis: Left 2nd metacarpal fracture, displaced
Treatment: Percutaneous reduction and internal fixation with an intramedullary screw
Outcome: He had immediate return of motion. After 2 months of working with therapy, he had full healing, no pain, complete return of motion, and returned to work as a sheriff. The scar was not noticeable. X-rays showed the bone was in perfect alignment.
No pain and nearly normal motion at 2 months after surgery!