Closed Fracture Of Left 4th Proximal MetacarpalCase Discussion, Imaging / By admin X-ray of left hand(AP/Lateral) – Click to enlarge 24 years old gentleman, left hand accidentally kicked by a friend during a football match. He came to use with pain, bruises and swelling over the left hand, no open wound.X-ray done showed fracture of the left 4th proximal metacarpal.