IS case 450: Boxer's fracture
Imaging Sciences URMC 2010
Publication Date: 2010-08-30
Patient is a 21-year-old female who punched a wall.
A Boxer's fracture is a fracture of the metacarpal neck with volar angulation of the distal fragment. It can occur in any of the metacarpals, but it is most often seen in the fifth metacarpal. It is usually caused by the impact of a clenched fist with a hard, immovable object. The fracture deformity is often best seen on oblique projection. It is important to determine the extent of fracture as there is often comminution, which may predispose to angular deformation upon healing. Treatment usually involves placement of a splint.
- Greenspan A. Orthopedic Imaging: A Practical Approach, 4th ed. Lippincott, Williams & Wilkins, 2004: 207.