Table 1

Types of intra-articular metacarpal head fractures

TypeNo. fractures
Epiphyseal injuries4
Collateral ligament avulsions17
Osteochondral8
Oblique (sagittal)22
Vertical (coronal)4
Horizontal (transverse)4
Comminuted31
Boxer’s into joint3
Loss of substance6
Avascular necrosis4
Total103
  • Adapted from McElfresh EC, Dobyns JH. Intra-articular metacarpal head fractures. J Hand Surg (Am) 1983;8:384. (2)