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Boxer's Fracture

Boxer's Fracture

In This Article

What is a Boxer's Fracture?

A Boxer's Fracture is a break in the neck of the metacarpal bones, most commonly the fifth metacarpal, often resulting from a direct blow.

  • Typically caused by punching a hard object
  • Commonly affects the hand of boxers and other athletes

Overview of the Condition

This fracture can lead to swelling, pain, and reduced hand function.

Symptoms

  • Pain and swelling over the knuckle
  • Bruising and tenderness
  • Difficulty gripping or making a fist

Causes

A direct impact to the hand, such as striking a hard surface, is the typical cause.

Diagnosis

X-rays are used to confirm the fracture and assess displacement.

Treatment Options

  • Immobilization with a cast or splint
  • Reduction (if necessary) to realign the bone
  • Surgical fixation for severe cases

Conservative Management

Casting or splinting is the mainstay of non-surgical treatment.

Rehabilitation Exercises

  1. Gradual range-of-motion exercises
  2. Hand strengthening exercises
  3. Physical therapy to restore normal function

Surgical Options

Surgery may be indicated for significantly displaced fractures or in high-demand athletes.

Anatomy Overview

The fracture typically occurs in the neck of the fifth metacarpal bone.

Affected Areas

  • Fifth metacarpal
  • Lateral aspect of the hand

Frequently Asked Questions

QuestionAnswerHow long is recovery?Recovery typically takes 6-8 weeks with proper immobilization and rehabilitation.Is surgery always required?Surgery is reserved for severe or displaced fractures.

Prevention Strategies

  • Use proper technique during sports
  • Wear protective gloves if needed
  • Avoid punching hard surfaces

Related Conditions

  • Other hand fractures
  • Soft tissue injuries of the hand

Additional Treatments

Post-injury rehabilitation is essential for optimal recovery.

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