Boxer's fracture

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Boxer's fracture
X-ray of a boxer's fracture
Synonyms	Metacarpal neck fracture
Pronounce	N/A
Specialty	N/A
Symptoms	Pain, swelling, bruising, deformity of the hand
Complications	Malunion, decreased grip strength
Onset	Sudden, following trauma
Duration	Varies, typically weeks to months
Types	N/A
Causes	Direct impact to a closed fist
Risks	Physical altercation, punching hard objects
Diagnosis	Physical examination, X-ray
Differential diagnosis	Metacarpal fracture, Phalanx fracture
Prevention	Avoid punching hard objects, use of protective gear
Treatment	Immobilization, reduction, surgery
Medication	Pain management, NSAIDs
Prognosis	Generally good with proper treatment
Frequency	Common in young males
Deaths	N/A

Boxers fracture

Boxer's Fracture

A boxer's fracture is a specific type of fracture that occurs in the neck of the 4th or 5th metacarpal bone in the hand. This injury is commonly associated with boxing and other combat sports but can occur in various situations where force is applied against a closed fist.

Description

The term "boxer's fracture" refers to a break in the bone at the neck, which is the area just below the knuckle. It typically involves the metacarpal bones of the ring and little fingers.

Causes

Boxer's fractures are often caused by:

• Striking an object with a closed fist, such as during a fight or in sports.
• Accidental injury, such as during a fall when the hand is used to break the impact.

Symptoms

Common symptoms of a boxer's fracture include:

• Pain and swelling in the affected area.
• Difficulty in moving the affected fingers.
• Bruising or discoloration around the injured site.

Diagnosis

Diagnosis of a boxer's fracture is typically made through:

• Physical examination.
• Imaging tests like X-rays to determine the extent of the fracture.

Treatment

Treatment for a boxer's fracture can vary depending on the severity of the break but may include:

• Splinting or casting to immobilize the hand.
• Pain management with medication.
• In severe cases, surgical intervention may be required to realign the bones.

Prevention

Preventive measures include:

• Using proper technique and protective gear during sports.
• Avoiding situations where a punch might be thrown.

External Links

• American Academy of Orthopaedic Surgeons: Hand Fractures
• Mayo Clinic: Broken Hand

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