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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Removing A Cast From A Fractured Hand Before The Healing Period Safe?

Hello! I sustained a 4th metacarpal base fracture almost 4 weeks ago and was placed in a cast. I ve been taking calcium, magnesium. Zinc, vitamin C, multi vitamins, creatine supplements and CBD tincture almost daily since the fracture. I have full mobility in all fingers and a nearly normal squeezing grip plus able to move my wrist quite a bit inside my cast, all without pain. Would it be considered even remotely safe to remove my cast early keep it wrapped with tape and and maintain limited movement and strain on the hand for the next few weeks?
posted on Mon, 9 Apr 2018
Twitter Thu, 13 Sep 2018 Answered on
Twitter Tue, 18 Sep 2018 Last reviewed on
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Orthopaedic Surgeon,  's  Response
Hi,

In my clinical practice, I would not keep the cast for 4th metacarpal fracture for more than 3 weeks in a normal patient.

I would remove the cast and reassess the fracture clinically and with x rays. If the fracture has not united then I may continue cast, else remove it.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Gopal Goel, Orthopaedic Surgeon
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Is Removing A Cast From A Fractured Hand Before The Healing Period Safe?

Hi, In my clinical practice, I would not keep the cast for 4th metacarpal fracture for more than 3 weeks in a normal patient. I would remove the cast and reassess the fracture clinically and with x rays. If the fracture has not united then I may continue cast, else remove it. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Gopal Goel, Orthopaedic Surgeon