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Boxer fracture (x-ray)

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A boxer fracture is a minimally comminuted transverse fracture of the 5th metacarpal. It typically occurs, as the name suggests, during punching, and is a common sight in emergency departments on a Friday night.


Mechanism
Direct blow with clenched fist against solid surface e.g. wall, face.


Radiographic features
Transverse fracture of the metacarpal neck, with volar angulation of the distal fragment.


Treatment
Although it can be treated conservatively, it is relatively unstable, and K-wire fixation is often required for better cosmetic results.


Case Boxer fracture courtesy of Dr Hani Alsalam, radiopaedia.org

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Uploaded on 28.02.2011 by

Dr. Frank Gaillard

Physician (Radiology - general)

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