From the Research
Recovery time for a fifth metacarpal fracture typically requires avoiding sports for at least 8 weeks, as supported by the most recent and highest quality study 1. The management of fifth metacarpal fractures varies, but generally, immobilization with a cast or splint is necessary for about 3-4 weeks. After the cast is removed, gradual rehabilitation should begin with gentle range of motion exercises, followed by strengthening exercises. Some studies suggest that a well-designed home-based exercise program can result in improved hand function and digital total active motion compared to traditional physiotherapy 1. However, it's essential to follow a healthcare provider's specific recommendations, as individual healing times vary based on fracture type, displacement, and personal factors. Complete healing of the bone takes approximately 6-12 weeks, depending on the severity of the fracture, patient age, and overall health 2, 3. Premature return to sports risks re-injury, malunion, or chronic pain, especially since the fifth metacarpal bears significant force during gripping and punching motions. A study on the clinical observation of homemade splint external fixation in the treatment of metacarpal fractures found that this method can achieve good clinical results, with a healing time of approximately 6.3 weeks 4. However, this study's findings should be considered in the context of the overall evidence, which prioritizes a more conservative approach to avoiding sports after a fifth metacarpal fracture. Key considerations for rehabilitation include:
- Immobilization for 3-4 weeks
- Gradual rehabilitation with range of motion and strengthening exercises
- Avoiding contact sports or high-risk activities for at least 8 weeks
- Following a healthcare provider's specific recommendations for individualized care.