By the end of this podcast, the listener will be able to:  Identify key features on history and physical examination suggestive of proximal metacarpal fractures; Create a differential diagnosis for proximal metacarpal fractures; Understand the initial management for a patient with a proximal metacarpal fracture; Be aware of surgical and non-surgical options for the treatment of proximal metacarpal fractures; Identify potential complications of proximal metacarpal fractures Be aware of the long-term functional outcomes of proximal metacarpal fractures.