title: [Fractures of the metacarpal bones II to V--conservative and surgical treatment].
abstract: Fractures of the metacarpals II-V can normally be handled conservatively. After reposition under local anaesthetic plaster of Paris is applied for a duration of 3 to 4 weeks. Open fractures usually with accompanying injuries, should be stabilized operatively. The functional results of conservative treatment are very good. Slight sidewards deviation of up to 1/3 of the width of the shaft and shortening of up to 6 mm don't interfere with good hand function. Palmar deviation of the distal fragment of up to 35 degrees following subcapitular fractures does not reduce hand function.
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002370:Casts, Surgical; D002648:Child; D005260:Female; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000601:surgery / Q000628:therapy*; D006801:Humans; D008297:Male; D050279:Metacarpal Bones / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D008875:Middle Aged; D011859:Radiography
vernacular_title: Frakturen der Mittelhandknochen II-V--konservative und operative Behandlung.