Acute pain management
Open fractures require immediate IV antibiotics and urgent surgical washout
Neurovascular compromise from fracture requires emergent reduction and/or orthopedic intervention
Consider risk for compartment syndrome
Contingent upon angulation and rotation
Any rotational deformity should be reduced to allow proper hand function (seen as scissoring)
Angulation >30° in the 4th digit or >40° in the 5th digit should be reduced
See Diagnosis section for definition
Uncomplicated
Buddy taping
Similar functional outcomes those randomized to plaster cast with earlier return to work 
Similar satisfaction and pain control as those randomized to plaster casting 
Shorter ER Stay 
Complicated:
Forearm volar splint with extension over the head of the MCP joint provides equal effect and is better tolerated
Classically, the Ulnar Gutter Splint was recommended
Buddy taping
Similar functional outcomes those randomized to plaster cast with earlier return to work 
Similar satisfaction and pain control as those randomized to plaster casting 
Shorter ER Stay 
Similar functional outcomes those randomized to plaster cast with earlier return to work 
Similar satisfaction and pain control as those randomized to plaster casting 
Shorter ER Stay 
Forearm volar splint with extension over the head of the MCP joint provides equal effect and is better tolerated
Classically, the Ulnar Gutter Splint was recommended
Classically, the Ulnar Gutter Splint was recommended
Boxer's fracture
Non-thumb metacarpal fractures
Smith's fracture
Head
Colles' fracture
Neck
Barton's fracture
Shaft