Metacarpal Fracture: Rehab Exercises

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Your Care Instructions

Here are some examples of typical rehabilitation exercises for your condition. Start each exercise slowly. Ease off the exercise if you start to have pain.

Your doctor or your physiotherapist or occupational therapist will tell you when you can start these exercises and which ones will work best for you.

How to do the exercises

Wrist flexion and extension

Picture of how to do wrist flexion and extension exercises
slide 1 of 10
slide 1 of 10, Wrist flexion and extension,
  1. Place your forearm on a table. Your affected hand and wrist should extend beyond the table, palm down.
  2. Bend your wrist to move your hand upward and allow your hand to close into a fist. Now lower your hand and allow your fingers to relax. Hold each position for about 6 seconds.
  3. Repeat 8 to 12 times.

Pronation and supination stretch

Picture of how to do pronation and supination exercises
slide 2 of 10
slide 2 of 10, Pronation and supination stretch,
  1. Grasp a pen, pencil, or stick, and wrap your hand around it. If you don't have something to hold on to, make a fist instead. Then lift your arm so that your elbow is at your side, bent at about 90 degrees.
  2. Slowly turn your forearm as far as you can back and forth in each direction. Your hand should face up and then down.
  3. Hold each position for at least 15 to 30 seconds until you feel a stretch in your forearm.
  4. Repeat 2 to 4 times.

Radial and ulnar deviation

Picture of how to do radial/ulnar deviation
slide 3 of 10
slide 3 of 10, Radial and ulnar deviation,
  1. Grasp a water bottle with your affected hand. If you don't have something to hold on to, make a fist instead.
  2. With your elbow on a table, slowly bend your wrist upward. Then lower your wrist back to where you started.
  3. Repeat 8 to 12 times.

Towel squeeze

Picture of how to do towel squeeze exercise
slide 4 of 10
slide 4 of 10, Towel squeeze,
  1. Place a small towel roll on a table.
  2. With your palm facing down, grab the towel. Squeeze it for about 6 seconds. Then slowly straighten your fingers to release the towel.
  3. Repeat 8 to 12 times.

Resisted forearm pronation

Picture of how to do resisted forearm pronation
slide 5 of 10
slide 5 of 10, Resisted forearm pronation,
  1. Sit leaning forward with your legs slightly spread. Then place your forearm on your thigh with your affected hand and wrist in front of your knee.
  2. Grasp one end of an exercise band with your palm up. Step on the other end.
  3. Keeping your wrist straight, roll your palm inward toward your thigh for a count of 2. Then slowly move your wrist back to the starting position to a count of 5.
  4. Repeat 8 to 12 times.

Resisted supination

Picture of how to do resisted supination
slide 6 of 10
slide 6 of 10, Resisted supination,
  1. Sit leaning forward with your legs slightly spread. Then place your forearm on your thigh with your affected hand and wrist in front of your knee.
  2. Grasp one end of an exercise band with your palm down. Step on the other end.
  3. Keeping your wrist straight, roll your palm outward and away from your thigh for a count of 2. Then slowly move your wrist back to the starting position to a count of 5.
  4. Repeat 8 to 12 times.

Resisted ulnar deviation

Picture of how to do resisted ulnar deviation
slide 7 of 10
slide 7 of 10, Resisted ulnar deviation,
  1. Sit leaning forward with your legs slightly spread. Then place your forearm on your thigh with your affected hand and wrist by the inside of your knee.
  2. Grasp one end of an exercise band with your palm down. Step on the other end with the foot opposite the hand holding the band.
  3. Slowly bend your wrist outward and toward your knee for a count of 2. Then slowly move your wrist back to the starting position to a count of 5.
  4. Repeat 8 to 12 times.

Resisted radial deviation

Picture of how to do resisted radial deviation exercise
slide 8 of 10
slide 8 of 10, Resisted radial deviation,
  1. Sit leaning forward with your legs slightly spread. Then place your forearm on your thigh with your affected hand and wrist in front of your knee.
  2. Grasp one end of an exercise band with your hand facing toward your other thigh. Step on the other end.
  3. Slowly bend your wrist upward for a count of 2. Then lower your wrist slowly to a count of 5.
  4. Repeat 8 to 12 times.

Resisted wrist flexion

Picture of how to do resisted wrist flexion exercise
slide 9 of 10
slide 9 of 10, Resisted wrist flexion,
  1. Sit leaning forward with your legs slightly spread. Then place your forearm on your thigh with your affected hand and wrist in front of your knee.
  2. Grasp one end of an exercise band with your palm up. Step on the other end.
  3. Slowly bend your wrist upward for a count of 2. Then lower your wrist slowly to a count of 5.
  4. Repeat 8 to 12 times.

Resisted wrist extension

Picture of how to do resisted wrist extension exercise
slide 10 of 10
slide 10 of 10, Resisted wrist extension,
  1. Sit leaning forward with your legs slightly spread. Then place your forearm on your thigh with your affected hand and wrist in front of your knee.
  2. Grasp one end of an exercise band with your palm down. Step on the other end.
  3. Slowly bend your wrist upward for a count of 2. Then lower your wrist slowly to a count of 5.
  4. Repeat 8 to 12 times.

Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse call line if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take.

Where can you learn more?

Go to https://www.healthwise.net/patientEd

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