Overview of indications, preferred methods and technical tips for hand fractures from around the world

J Hand Surg Eur Vol. 2015 Jan;40(1):88-97. doi: 10.1177/1753193414561942.


This article presents techniques used by six senior surgeons from different parts of the world. Our commentaries on treating hand fractures are included, together with the methods we use. While non-operative treatment is appropriate and effective for the majority of the hand fractures (including those many practitioners currently treat surgically), we describe how we try to manage difficult cases with less invasive surgical methods. We recommend simple, efficient, non-operative or less invasive operative methods for almost all fractures, except for some open or very complex injuries.

Keywords: Phalangeal fractures; carpometacarpal joint; distal and proximal interphalageal joint; internal fixation; metacarpal fractures; percutaneous pinning.

MeSH terms

  • Fracture Fixation*
  • Fractures, Bone / diagnosis
  • Fractures, Bone / etiology
  • Fractures, Bone / therapy*
  • Hand Bones / injuries*
  • Humans
  • Orthopedic Fixation Devices
  • Patient Selection
  • Practice Patterns, Physicians'
  • Traction