A boxer’s blunder and broken bones

When the 4th and 5th metacarpals come into forceful longitudinal contact with an object, such as in a mistimed punch by a boxer, the most common bony injury is a fracture of the neck of the 5th metacarpal bone.

These injuries may also occur when falling to the ground during a football tackle or when striking a fixed object in anger.

Treatment of this so-called ‘Boxer’s fracture’ is usually non-operative. The ring and little fingers are buddy-strapped and a hand-based splint may be fitted. Flexion of up to 45° at the 5th

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