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If the knuckle is severely deformed, a procedure called a closed reduction may be needed to push the fracture back into proper position before casting. A boxers fracture is a break in the neck of the fifth metacarpal bone of the hand, which is at the base of the finger.
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Most boxer’s fractures can be treated with a cast or brace to stabilize the fracture while it heals. In severely displaced fractures, the fingers may overlap (or scissor) when they are flexed. Because broken bones can cause significant amounts of pain, pain management is an important aspect of treating broken bones. Bruising and loss of knuckle contour are also common, and extending the finger may be difficult. Boxers fractures of the fourth and fifth metacarpal bones only require surgery if large degrees of angulation is present and the bones cannot be moved into the correct place by pulling and pushing on them. Occasionally, direct trauma to the hand can also cause this injury.Ĭommon symptoms include pain, tenderness, and swelling around the knuckle of the little finger. A boxer’s fracture can also occur when a person stumbles and tries to break his fall with a closed fist to the ground. Ironically, this is a rare injury in boxers because they are trained to punch with even force over the entire hand, maximizing force and minimizing injury. A boxers fracture is a break to one or more of the bones that make up the knuckle, called the metacarpals. The force concentrates at the metacarpal neck, leading to a fracture. 1 A Boxers fracture is a fracture of the fifth metacarpal neck, named for the classic mechanism. Since most people punch in a roundhouse fashion, the first point of boney contact in a punch is the little finger metacarpal bone. Metacarpal fractures account for 40 of all hand fractures. A boxer’s fracture is defined as a fracture of the 5 th metacarpal neck.
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They can also occur from a variety of ways such as a fall, sports injury, or car accident. These injuries are most common in young adult males. The typical cause is punching a wall with a clenched fist. This kind of hand fracture is caused by an impact to the knuckle and is the most common type of metacarpal fracture. Boxers fracture is a very common hand injury. A boxer’s fracture can also be called a metacarpal fracture and is less commonly referred to as a brawler’s fracture. This type of fracture most commonly occurs when someone punches a hard surface (or another person) with a closed fist. A boxer’s fracture is a break to one or more of the bones that make up the knuckle, called the metacarpals. A boxer’s fracture refers to a break at the end of the bone nearest the knuckle, which is called the metacarpal neck. The metacarpals are the long bones in the hand that connect the fingers to the wrist. A boxer’s fracture is a break of the metacarpal of the little finger.