# Management of a metacarpal oblique fracture in an elite cyclist

## TL;DR

An elite cyclist suffered a metacarpal fracture and used custom splinting to continue training during recovery.

## Contribution

This case report highlights a rare metacarpal injury in cycling and the use of custom splinting for rehabilitation.

## Key findings

- The injury occurred due to contact with a race course barricade.
- Custom splinting was used to maintain athletic participation during recovery.

## Abstract

Metacarpal fractures are common in contact sports but are not often seen in elite cyclists. This case report depicts a 32-year-old elite cyclist injured when forced into a race course metal barricade. The diagnosis was an oblique fracture of the third metacarpal. This report chronicles the diagnosis, clinical signs and symptoms, and application of custom splinting to maximize athletic participation during the rehabilitation process.