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Abstract
Hand is one of the most frequently injured parts of the body. Fractures of the metacarpals are quite common, amounting to about one third of all hand fractures. A majority of these fractures are closed, simple, transverse, or short oblique and are amenable to protective splintage and early motion Most hand fractures can be treated by nonoperative methods with good outcome. In the small percentage of unstable hand fractures, results of closed treatment remain unsatisfactory. Treatment goals specific to the metacarpals include preservation of the longitudinal and transverse arches and prevention of rotational deformity