Management of a metacarpal oblique fracture in an elite cyclist.

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.