Hand x-rays
Oblique fracture are more prone to shorten and rotate
Transverse fracture generally stable (particularly isolated 3rd or 4th MC shaft fracture)
Oblique fracture are more prone to shorten and rotate
Transverse fracture generally stable (particularly isolated 3rd or 4th MC shaft fracture)
Assess for extensor dysfunction; patient may exhibit "pseudo-clawing" during attempts at finger extension
Assess angulation
>10 deg in 2nd and 3rd and >20 deg in 4th and 5th metacarpal shaft fractures requires reduction
Assess rotational alignment
>10 deg in 2nd and 3rd and >20 deg in 4th and 5th metacarpal shaft fractures requires reduction
Non-thumb metacarpal fracture 
Non-thumb metacarpal fractures
Humerus shaft fracture
Head
Humerus shaft fracture 
Neck
Tibial tuberosity fracture
Shaft