Thanks for writing to us.
A comminuted fracture
of distal end of 5th metacarpal needs a careful asessment by the orthopedician regarding the scattered bony fragments. In most of the cases internal fixation
is not possible and closed reduction is tried with application of POP slab or cast after evaluation of the extent of swelling associated.
I hope this information has been both informative and helpful for you.
Dr. Rakhi Tayal