Hand Fractures: Current Concepts


Hand fractures are common injuries, and most do not require surgical treatment. Even with modern techniques of surgical fixation, the best results are often obtained with closed treatment. Regardless of the method of treatment, most fractures heal adequately enough to allow gentle range of motion by 3 to 4 weeks. Temporary fixation should usually be removed and protected rehabilitation initiated at that time, unless there are specific contraindications. If the patient is not progressing on a timeline to achieve full digital range of motion by 6 to 8 weeks postinjury, formal hand therapy should be initiated. Current concepts for the management of fractures of the metacarpals and phalanges are discussed.

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