Boxer's Fracture
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
- Gradual range-of-motion exercises
- Hand strengthening exercises
- 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
| Question | Answer |
|---|---|
| How 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