Boxer's fracture

Question 1

What is ‘boxer’s fracture’

Answer 1

1. fracture of the 5th metacarpal neck 2. volar displacement of metacarpal head

Question 2

what is the mechanism of boxer’s fracture?

Answer 2

transverse fracture after striking a hard object with a clenched fist e.g. punch

Question 3

what is the clinical presentation of boxer’s fracture?

Answer 3

1. swelling and tenderness over metacarpal head 2. palmar bruising

Question 4

Mx

Answer 4

1. most fractures - splintage/minimal immobilisation 2. may require operative fixation if very displaced