1. Neck of 5th Metacarpal
2. Metacarpal Shaft
3. Metacarpal Head
4. Base of Metacarpal Fracture Dislocations
5. MCPJ dislocations
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
Restore normal function of the finger
1. Restoration of bony anatomy
2. Early motion
- inherent fracture stability
- splinting
- adequate internal fixation
- dynamic external fixation
Usually young patients
- 15 - 40
15% compound
High velocity injury
- MBA
- MVA
- pedestrian v car
- fall from height
EMST principles
- need for transfusion not uncommon
< 20o sagittal
< 30o coronal
< 3 cm of shortening
