Vela - Location of Romo’s Fracture Is Important
The team’s website claims that Tony Romo suffered a fractured right fifth metacarpal.
According to Dr. Luis Rios, my radio partner on The Sports Doctors and a hand surgeon in his day job, the location of Romo’s injury will affect his recovery time and odds for a full recovery this year. The original statement found in many press stories of a “broken pinkie finger” gives the impression that Romo injured the area of the finger that extends into the air. However, the 5th metacarpal refers to the bone that extends from the base of the wrist to the knuckle of the little finger. It is the longest single bone in the hand. It’s also the thickest one.
Because the metacarpals are surrounded by soft tissue and other bones, fractures to them are often relatively stable and heal well.
According to Dr. Rios:
“If the fracture is near the middle of the bone it can be stabilized with a plate and screws. This will allow the bone to heal quicker and get Romo back on the field sooner. However, if the fracture is just below the knuckle, often times a plate cannot be inserted and the fracture will have to heal on its own. Therefore the fracture may require a little more time to heal before it is stable enough to allow Romo to play.
If it’s in the middle of the bone, the metacarpals are ameable to small injections that would reduce discomfort during a game but not numb the fingers.
If it’s a mid fracture, Romo could return on the short end of the rehab timetable, but if it’s a near-knuckle fracture he’s probably out the full 4-6 weeks.
Given the choice between a fractured metacarpal and a broken pinkie finger, you would prefer the former because it’s less likely to affect your accuracy when you return.”
No injury is good but the injury as described gives Romo a chance to come back as close to new as possible.