In general, during boxer’s fracture rehabilitation, heat and cold are also applied to treat the pain of the injury and prepare the fingers to do the exercises more easily and without feeling as much pain during stretches. Electricity and massage may also be applied to the area, which stimulates the nervous response and also relaxes the tendons and parts of the finger to facilitate movement. The type of splint used to treat a boxer’s fracture can vary and this is because as this area is so weak and delicate, the fracture can occur in multiple ways and involve different areas, for this reason two people with fifth metacarpal fracture received splinting and totally different treatment. One of the factors that varies in the treatment of this fracture is the degree of the splint, since there is no study that establishes an exact degree that is effective to recover all types of fractures that may occur in the fifth bone of the hand. Therefore, depending on the injury, the degree of immobilization also varies. In some cases, a cast is placed in place of the splint.Īfter the splint or cast is removed, it is necessary for the person to undergo at least three weeks of physical therapy so that through certain exercises indicated by the physiotherapist, depending on the degree of mobility of the fingers, the ability to move is increased. For severe displacement, finger scissoring, or multiple metacarpal fractures, surgery may be recommended.Once any of the diagnostic tests have been performed, it will be necessary to administer medication to calm the pain and reduce inflammation of the wound. Treatment will depend on the type of fracture. In the case of a partial fracture , care consists of immobilizing the bone and joints near the injury through a splint performed on the little and ring fingers, which also compromises the mobility of the wrist. If the knuckle is severely deformed, a procedure called a closed reduction may be needed to push the fracture back into proper position before casting. Most boxer’s fractures can be treated with a cast or brace to stabilize the fracture while it heals. In severely displaced fractures, the fingers may overlap (or scissor) when they are flexed. Bruising and loss of knuckle contour are also common, and extending the finger may be difficult. Occasionally, direct trauma to the hand can also cause this injury.Ĭommon symptoms include pain, tenderness, and swelling around the knuckle of the little finger. A boxer’s fracture can also occur when a person stumbles and tries to break his fall with a closed fist to the ground. Ironically, this is a rare injury in boxers because they are trained to punch with even force over the entire hand, maximizing force and minimizing injury. The force concentrates at the metacarpal neck, leading to a fracture. Since most people punch in a roundhouse fashion, the first point of boney contact in a punch is the little finger metacarpal bone. This type of fracture most commonly occurs when someone punches a hard surface (or another person) with a closed fist. A boxer’s fracture refers to a break at the end of the bone nearest the knuckle, which is called the metacarpal neck. The metacarpals are the long bones in the hand that connect the fingers to the wrist. A boxer’s fracture is a break of the metacarpal of the little finger.
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