Repeated boxers fracture of 5th metacarpal and ORIF plate

Case contributed by Craig Hacking
Diagnosis certain

Presentation

Tenderness post punch injury.

Patient Data

Age: 20 years
Gender: Male

Previous internal fixation of the fourth and fifth metacarpal shafts with dorsal plates and screws. The fifth metacarpal plate is fractured along with the metacarpal shaft, volarly angulated approximately 40 degrees. Marked overlying dorsal soft tissue swelling.

Case Discussion

The patient had a long history of repeated fist fights.

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