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Abstract
Fractures of the metacarpals are some of the most common injuries that are presented to the hand surgeon. Ten percent of all fractures occur in the metacarpals and 80% of all hand fractures involve these bones. 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. The goal of treatment of fractures of the metacarpals includes restoration of functiotion and prevention of rotational deformity, and preservation of the longitudinal and transverse arches