Metacarpal and finger fractures.

If loss of hand function is to be avoided, metacarpal and finger fractures must be treated early, correctly, and for sufficient time. Maintaining the hand in a correct position of function during the healing process is vital. Immobilization should be for as short a period as possible, but as complete as possible. Patients tend to remove splints, making casts more advisable. Methods of anesthesia, reduction and fixation are described for metacarpal, thumb metacarpal, proximal, middle and distal phalangeal fractures.