Boxer's fracture: Difference between revisions
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==Background== | |||
*Fracture of the fourth or fifth metacarpal bones caused by an axial load, typically from punching a person or object. | |||
==Clinical Features== | |||
*Pain or swelling along the fourth or fifth metacarpals | |||
*Volar angulation of metacarpal or "missing 4th/5th knuckle" | |||
*Always look for areas of skin breakdown, as these may signify a [[Fight Bite]]. | |||
==Imaging== | |||
*Typically seen on AP or lateral hand radiographs | |||
==Management== | |||
*Indications for reduction are contingent upon angulation and rotation. | |||
**Any rotational deformity should be fixed to allow proper hand function. | |||
**10 degrees of angulation is tolerated in the 1st and 2nd metacarpals, while the third and fourth metacarpals can tolerate up to 40 degrees of angulation. | |||
==See Also== | |||
*[[Fracture]] | |||
*[[Ortho]] | |||
Revision as of 03:54, 2 December 2014
Background
- Fracture of the fourth or fifth metacarpal bones caused by an axial load, typically from punching a person or object.
Clinical Features
- Pain or swelling along the fourth or fifth metacarpals
- Volar angulation of metacarpal or "missing 4th/5th knuckle"
- Always look for areas of skin breakdown, as these may signify a Fight Bite.
Imaging
- Typically seen on AP or lateral hand radiographs
Management
- Indications for reduction are contingent upon angulation and rotation.
- Any rotational deformity should be fixed to allow proper hand function.
- 10 degrees of angulation is tolerated in the 1st and 2nd metacarpals, while the third and fourth metacarpals can tolerate up to 40 degrees of angulation.