ECRB avulsion fracture therapy management: Case report

Avulsion fractures at the base of second and third metacarpals are very rare, there is no evidence in literature for post-surgical therapy management. The purpose this study was to identify a treatment protocol management an extensor carpi radialis brevis (ECRB) avulsion fracture. patient had fabricated volar wrist splint with 30 degrees extension 60 70 MCP flexion. At 4 weeks, progressed ROM outside splint. 6 PROM completed, use discontinued. 8 began progressive strengthening. Following management, achieved near normal range motion, pain-free, functional based on Quick Disabilities Arm, Shoulder, Hand score. Patients ECRB fracture managed surgery should be splinted post-operatively through monitor both bone healing response tendon.