[Fractures of the finger and metacarpal bones II-V : Diagnostics and treatment]

The function of the hand can be substantially impaired by fractures of the finger and metacarpal bones. Metacarpal fractures account for up to 50% of hand fractures, followed by finger fractures (25%), with the fifth metacarpal most commonly affected. The diagnostics include the clinical examination, X‑ray and often computed tomography (CT) imaging. The treatment depends on the type of fracture and clinical function as well as the patient's needs. In many cases conservative treatment is possible. Surgically, K‑wires, plate or screw osteosyntheses and rarely external fixators are used. Postoperatively, the focus is on maintaining function and avoiding complications through specialized hand therapy. The aim is to restore pain-free and unrestricted hand function. This overview does not include the diagnostics and treatment of fractures of the thumb, only finger and metacarpal fractures.