1.  Neck of 5th Metacarpal

2.  Metacarpal Shaft

3.  Metacarpal Head

4.  Base of Metacarpal Fracture Dislocations

5.  MCPJ dislocations


1.  Neck of 5th Metacarpal Fracture


Non operative Management


Accept 45o angulation

- will have finger extensor lag, but will recover




1 / 1000 per year female

1.5 / 1000 per year male


Phalangeal fractures

- represent more than half of all hand fractures


Goals of Treatment


Restore normal function of the finger


1.  Restoration of bony anatomy


2.  Early motion

- inherent fracture stability

- splinting

- adequate internal fixation

- dynamic external fixation