Boxer's Fracture

Question 1

what is affected in this fracture?

Answer 1

5th metacarpal neck

Question 2

cause

Answer 2

punching injury

Question 3

what degree of angulation can be tolerated without affecting hand function?

Answer 3

45 degrees

Question 4

management

Answer 4

neighbour strapping of affected digit to adjacent finger
early motion to maintain function
check rotational alignment to avoid problems with grip
overlapping of fingers when making a fist should be corrected by manipulation with neighbour strapping or k-wire stabilisation