The Hand injuries page has been updated with a revised section on metacarpal fracture management. In particular, the lack of evidence of benefit from surgical management of most metacarpal fractures has been re-emphasised.
Sletten, IN, Hellund, JC, Olsen, B, et al. Conservative treatment has comparable outcome with bouquet pinning of little finger metacarpal neck fractures: a multicentre randomized controlled study of 85 patients. Journal of Hand Surgery: European Volume 2015;40(1):76-83.