This leaflet answers common questions about 5th metacarpal fractures. If you would like further information, or have any worries, please do not hesitate to ask your nearest clinician.

It normally takes six weeks for the injury to heal; Smoking will slow down your healing. We would advise that you stop smoking while your fracture heals. Talk to your GP for more information.

Caring for your injury

Keep the finger strapped to its neighbouring finger together for 10-14 days (the tape can be taken off in order to wash and fresh tape applied). As the break can be close to the joint, you must move your fingers as soon as possible even if this means overcoming the discomfort: this prevents the knuckle from becoming stiff and encourages swelling to settle.

Do, however, avoid heavy lifting or loading for six weeks. You can take part in contact sports again after eight weeks to reduce the risk of a re-fracture. It is advisable to strap your fingers during sporting activities. You may swim after three to four weeks.

In almost all cases these injuries heal very well, although as the bone heals, a lump will form at the break site and the knuckle may appear dropped. This will not affect your hand function.

Follow-up

If you have persistent pain after six weeks, contact the virtual fracture clinic and we will arrange an appointment.

Driving

You must be able to perform an emergency stop safely, not limited by pain. If this is not possible, do not drive. Please refer to the DVLA website regarding your fitness to drive if required.

Fitness for work statement

You can get a fitness for work statement from your GP or the doctor at your fracture clinic appointment.