Boxer fracture

Case contributed by Shailaja Muniraj
Diagnosis certain

Presentation

History of punching a wall.

Patient Data

Age: 20 years
Gender: Male
x-ray

There is a transverse fracture of the neck of the metacarpal with palmar angulation of the distal fracture fragment. There is intra-articular extension of the fracture.

Adjacent soft tissue thickening noted.

No other concomitant fractures seen.

5 weeks later

x-ray

Mild callous formation noted.

Limb in POP.

No complicating features.

Case Discussion

This is a typical case of a boxer's fracture in a young patient.

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