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A boxer's fracture is the break of the fifth metacarpal bone of the hand near the knuckle. [4] Occasionally, it is used to refer to fractures of the fourth metacarpal as well. [1] Symptoms include pain and a depressed knuckle. [2] Classically, it occurs after a person hits an object with a closed fist. [3]
A fracture of the fourth and/or fifth metacarpal bones transverse neck secondary due to axial loading is known as a boxer's fracture. [1] [[[Boxer%27s_fracture#{{{section}}}| contradictory]]] The fifth metacarpal bone is the most common bone to be injured when throwing a punch.
fracture at the neck of the fifth metacarpal: punching solid object: Boxer's fracture at Wheeless' Textbook of Orthopaedics online Bumper fracture: Car bumper: compression fracture of lateral tibial plateau: forced valgus of knee when struck from side by car bumper: Bumper fracture at TheFreeDictionary.com: Chance fracture: George Quentin Chance
The neck of a metacarpal is a common location for a boxer's fracture, but all parts of the metacarpal bone (including head, body and base) are susceptible to fracture. During their lifetime, 2.5% of individuals will experience at least one metacarpal fracture. Bennett's fracture (base of the thumb) is the most common. [4]
The fracture is usually a hairline fracture, commonly missed on normal X-rays. Symptoms are pain aggravated by gripping, tenderness over the hamate and symptoms of irritation of the ulnar nerve. This is characterized by numbness and weakness of the fifth digit with partial involvement of the fourth digit as well, the "ulnar 1½ fingers".
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