Principles of management of hand fractures

J Perioper Pract. 2023 Nov;33(11):342-349. doi: 10.1177/17504589221119739. Epub 2022 Nov 19.

Abstract

The optimal management of hand fractures requires a multidisciplinary approach. Initial assessment should include a thorough medical history and clinical examination, followed by appropriate radiological imaging. These are crucial in determining the appropriate management. Following joint stabilisation to allow fractures to unite, early mobilisation is needed to maximise the functional restoration of the hand. In this review, the principles of operative and non-operative management of these injuries are discussed.

Keywords: Fracture fixation; Hand therapy; Metacarpal fractures; Pain management; Phalangeal fractures; Splint.

Publication types

  • Review

MeSH terms

  • Fractures, Bone* / surgery
  • Hand Injuries* / diagnostic imaging
  • Hand Injuries* / surgery
  • Humans
  • Metacarpal Bones* / injuries