الفهرس 
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Abstract
Closed functional treatment of fracture metacarpals is based on principle of external positioning combined with active motion, which achieved by using the functional cast. It is important to obtain sufficient skeletal stability to allow some some load bearing until osseouS union has occurred. In this method early supervised rehabilitation is necessary to avoid the development of unnecessary deformities. •Fracture metacarpal bone becomes stable in three weeks, after which immobilization should be removed to allow full use of the hand. •Patient compliance is an important factor in closed functional treatment in starting active motion once the functional cast hardened to avoid stiffness. •Functionally treated patients returned to work faster than those treated with plaster cast. •Functional cast is more efficient in retaining the reduced fracture angulation much more than do the plaster cast.