Indications Metacarpal fractures are one of the most commonly sustained hand fractures and the overwhelming majority of these fractures may be treated nonoperatively with or without immobilization. Surgical intervention is frequently considered when the fracture leads to a functionally limiting…
Indications for Surgical Treatment Metacarpal fractures can be treated nonoperatively or operatively depending on the fracture characteristics of angulation, displacement, rotation, and stability following reduction when applicable. The osseous and soft tissue anatomy of the metacarpals provides functional stability to…
Introduction The metacarpal bones make up the bony arch connecting the phalanges to the carpus and are one of the most commonly fractured bone in the hand. Knowledge of the unique metacarpal anatomy, musculotendinous attachments, and surrounding neurovascular structures can…
Acknowledgments: I would like to acknowledge the recent work of Dr. Charles Day and the numerous previous editions by Dr. Peter Stern. Their brilliantly written chapters on this topic have been combined, modified, and updated to create this work. Fractures…
Overview Athletic participation frequently places the hand and wrist at risk of injury, which may lead to sprains, fractures, and dislocations. Reports in the literature suggest that 3% to 25% of all athletic injuries involve the hand and wrist. Additionally,…