Treatment of the Metacarpals Fracture

Abstract

Background: Metacarpal fractures represent one of the most common injuries of the hand and may lead to significant deformity and permanent functional impairment if inadequately treated. Over recent decades, management strategies have evolved from predominantly conservative approaches to a wide spectrum of operative techniques driven by advances in fixation materials, biomechanical understanding, and the growing emphasis on early mobilization. Treatment selection depends on multiple factors including fracture pattern, stability, degree of deformity, soft-tissue involvement, and patient-related considerations. The primary goals remain restoration of anatomy, stable fixation, and preservation of hand function. This review summarizes current concepts in the non-operative and operative management of metacarpal fractures, highlighting indications, techniques, biomechanical principles, and rehabilitation considerations.