Fractures Through the Base of the Second and Third Metacarpals

The patient was a 21-year-old male cadet at a military academy who was evaluated by a physical therapist in a direct-access capacity for a chief complaint of right wrist and hand pain. The symptoms began 5 days earlier following a punching injury, after which the patient reported immediate pain and swelling in the right wrist and hand. The physical therapist ordered radiographs of the right hand, which demonstrated nondisplaced, nonangulated transverse fractures through the bases of the second and third metacarpals. J Orthop Sports Phys Ther 2014;44(2):129. doi:10.2519/jospt.2014.0403