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!