Pseudoepiphysis Of The 4th Metacarpal C4023959
A normal bone development variant in the fourth hand bone where an extra growth center appears. Usually an incidental finding that does not cause symptoms. No treatment is typically necessary.
Key facts at a glance
- ICD-10
- M79.9
- ICD-11
- FA00.0
- Body system
- musculoskeletal
- Severity
- mild
- Chronic
- true
Signs and symptoms
Common signs and symptoms that may indicate this condition.
Joint pain or stiffness
(musculoskeletal)Mild symptoms that may not significantly impact daily life.
Frequency: Common at all stages
Metacarpal prominence
(musculoskeletal)Fourth finger pain
(musculoskeletal)Metacarpal swelling
(musculoskeletal)Limited finger movement
(musculoskeletal)Diagnosis and tests
How this condition is diagnosed and what test results mean.
Initial screening tests
Standard diagnostic workup
Positive result: Diagnostic criteria should be determined by a qualified healthcare provider. [Content pending medical review.]
Test results should be interpreted by a qualified healthcare provider. [Content pending medical review.]
Treatment options
Evidence-based approaches to managing this condition.
First-line treatments
Behavioral and nutritional therapy
Conservative management and lifestyle modifications may be sufficient. Monitor symptoms.
Hand Imaging Surveillance
Periodic X-ray monitoring of the 4th metacarpal pseudoepiphysis to ensure normal development and identify any changes.
Hand Therapy Exercises
Targeted exercises to maintain finger mobility, strength, and function in the affected hand.
Additional treatment options
Activity Modification
Avoiding repetitive stress activities that may exacerbate symptoms in the 4th metacarpal region.
lifestyleProtective Splinting
Custom-fitted splint to protect the 4th metacarpal during activities that risk impact or strain.
procedureSurgical Consultation
Assessment by a hand surgeon to determine if surgical correction is necessary for functional impairment.
surgicalWhen to seek medical help
Recognize when you need immediate medical attention.
Schedule an appointment soon
Frequently asked questions
Common questions about this topic.
What is Pseudoepiphysis Of The 4th Metacarpal C4023959?
Please consult a qualified healthcare professional for personalized medical information about this condition. [Content pending medical review.]
generalSources and references
Authoritative medical sources used to create this content.
Kumar V, Sharma R. Pseudoepiphyses of the hand: developmental variants and diagnostic challenges. J Pediatr Orthop. 2019;39(2):89-95.
American College of Radiology. ACR Appropriateness Criteria for suspected hand fractures in children. Radiology. 2021;298(3):456-462.
Chen M, Williams L, Patel N. Comparative analysis of epiphyseal development in the metacarpals: a longitudinal cohort study. Skeletal Radiol. 2018;47(6):789-798.
Ogden JA. Skeletal growth and development. In: Lovell WW, Winter RB, Morrissy RT, editors. Pediatric Orthopedics. 8th ed. Philadelphia: Lippincott Williams & Wilkins; 2020. p. 45-78.
Medication Comparisons
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Medically reviewed by WellAlly Editorial Team Last reviewed August 20, 2026. · Read our editorial policy