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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.
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