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Part III: Minimally Invasive Techniques in the Phalanges and Metacarpals

Fractures of the metacarpals and phalanges are some of the

most common injuries that are presented to the hand surgeon

(1,2). Ten percent of all fractures occur in the metacarpals or

phalanges and 80% of all hand fractures involve these bones

(3,4). Until the early part of the twentieth century, these

fractures were treated nonoperatively. Albin Lambotte in 1928

pioneered the work of operative fixation for metacarpal frac-

tures (5). Even today the majority of metacarpal and phalangeal

fractures are treated conservatively. Those fractures that are

nondisplaced or minimally displaced are inherently stable and

require only nonsurgical management. Other fractures can be

reduced in a closed manner and held in a cast or splint.