Hand Fractures (Metacarpal and Phalanx)

Medical term: Metacarpal and Phalangeal Fractures

Overview

Hand fractures involve breaks in the metacarpal bones (the bones in the palm) or the phalanges (the finger bones) and are among the most common skeletal injuries. They result from direct blows, falls, crushing injuries, or twisting forces. Even seemingly minor hand fractures require careful evaluation because malrotation or joint involvement can lead to significant functional problems if left untreated.

Our San Diego orthopedic team evaluates hand fractures with detailed examination and imaging to determine the best treatment approach. Stable, well-aligned fractures are typically managed with splinting and early motion. Fractures that are displaced, rotated, or involve the joint surface may require surgical fixation with pins, screws, or small plates to restore anatomy and preserve hand function. Early mobilization and hand therapy are emphasized to minimize stiffness and help patients return to full use of their hand.

Frequently Asked Questions

Can a broken finger heal without surgery?

Many finger fractures heal well with splinting or buddy taping. Surgery is recommended when the fracture is displaced, rotated, or involves the joint surface, as these patterns can affect hand function if not properly corrected.

What is a boxer's fracture?

A boxer's fracture is a break at the neck of the fifth metacarpal, the bone leading to the small finger. It is typically caused by punching a hard object. Many boxer's fractures can be treated without surgery, but angulated fractures may require fixation.