Metacarpal and Phalangeal Fractures

Phalangeal and metacarpal fractures are the most common fractures in the hand and wrist. Selecting the most appropriate treatment is guided by a thorough physical examination and history-taking, followed by indicated radiographic views. Nondisplaced fractures are splinted, while displaced but stable fractures are usually treated with closed reduction and immobilization. Unstable fractures or more complex injuries often require open reduction and fixation via a number of surgical options. The surgical techniques and tools necessary for each individual fracture pattern are thoroughly outlined by the authors, as is the associated postoperative care and rehabilitation.