Terms to know:
- Jahss classification
Conservative treatment for 1st met fractures: NWB in SLC for 4-6 weeks
When should you do ORIF for met fractures?
- Extra-articular: >2-3 mm displacement and >10 degrees angulation
- Intra-articular: fracture involves >20% articular surface if
When should you do open surgery for Jahss?
- Jahss classification 1
- Order is ADI – adductor, DTML, intersesamoidal ligament