Podcast #207: Boxer’s Fracture

Author: Sam Killian, M.D.

Educational Pearls:

  • Defined as fracture of neck (distal segment) of 5th metacarpal.
  • Intrinsic muscles of hand pull segment to palmar aspect of hand.
  • 30 degrees of angulation is allowed. Any more increases risk of chronic pain, grip strength and grasping deficits, and rotational deformities.
  • Reduce fracture if more than 30 degrees of angulation or if rotation is present.
  • Splint fracture in “ulnar gutter” with goal being flexion at MCP and extension at DIP and PIP.

References: http://www.emedicinehealth.com/boxers_fracture/article_em.htm

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