The metacarpals form the osseous base of the complex lever system of flexor and extensor tendons of the hand.  Understandably, fractures of the metacarpals disrupt this mechanism causing significant disability for the active or working patient and can come about from several different mechanisms. Metacarpal fractures are common in the general population, with relative propensity seen in contact-sport athletes (e.g., boxers and football players) and manual laborers. Due to the complexity of its form and function, orthopedic surgeons and other clinical providers must be able to recognize metacarpal fractures readily and treat these injuries in a timely fashion to avoid complications.