Son (13M) broke the 4th and 5th metacarpal in his dominant hand. Is surgery required?

Physician Responded

Yes, he punched a wall 🤦‍♂️... here is an x-ray.

We've spoken to three medical professionals:

  • Orthopedic PA (Urgent care) > "Likely will require surgery"
  • Pediatrician > "Likely will require surgery"
  • Orthopedic Surgeon - hand and wrist specialist > "No surgery required. I don't see any rotation in the break and we have some play in the 5th metacarpal. Given the displacement is near the growth plate it will correct itself over time. He may have a modest deformity (e.g. sunken knuckle) but functionally he won't have any long term impact to mobility or grip strength."

Obviously we're inclined to roll with the advise of the expert and I'm certainly not advocating for surgery, but the Orthopedic specialist looked at his hand for 30 seconds before coming to his recommendation. The kid is already devastated he'll miss the front portion of his baseball season and is worried his college baseball dreams are dead.

I suppose I'm looking for some confidence in either direction - sticking with the specialist advice or seeking a second opinion.

Posted Nov 14, 2025, 6:54 PM UTC

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