Metacarpal Fractures: An Evidence-Based Review to Guide Treatment.

Metacarpal fractures are among the most common fractures of the hand and upper extremity and can lead to substantial disability. Clinical and radiographic features of these fractures are important in approaching their management. While most metacarpal fractures can be treated nonsurgically with reduction and/or immobilization, some fractures and patients can have improved patient-centered outcomes with surgical fixation. Outcomes of surgical fixation (eg, percutaneous Kirschner wire fixation, plate/screws, interfragmentary screws alone, and intramedullary fixation) and postoperative care are best when tailored to the fracture pattern and patient.