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Boxer's Fracture

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What were the symptoms of your boxer's fracture? Submit Your Comment

Comment from: John, 25-34 Male (Patient) Published: April 24

I took my anger out by punching a wall and fractured third, fourth and fifth metacarpals on my dominant right hand. The emergency room put me in this bulky padding, plaster and Ace wrap that immobilized all four fingers and extended almost to my elbow. It was heavy and uncomfortable. I went to my appointment a week later (yesterday) and won't need surgery but got a new hard cast that is black, lighter and more comfortable, or at least as comfortable as four casted fingers can be. Not having a right hand is hard. My advice is if you want to punch something look for a punching bag or pillow.

Comment from: John, 25-34 Male (Patient) Published: April 20

I stupidly punched a wall and fractured the third fourth and fifth metacarpals on my right hand. The emergency room put me in a very heavy plaster cast and Ace wrap of all four fingers to just below my elbow. Being right handed it made life interesting for sure. I went to my appointment today and got the plaster off. No surgery but I got a new hard cast that is black and much lighter and comfortable. I am still getting used to being a lefty. Hope to get a removable brace when I go back in four weeks.

Comment from: Jasatt, 65-74 Female (Patient) Published: October 16

I broke the neck of my 5th metacarpal bone 6 weeks ago and a splint was put on. It still hurts like crazy. So I went to see a hand specialist today and found out I had a boxer's fracture on the one next to the pinky finger. It has gotten much worse since my x-rays on 9/1 and the ones I had taken today and was told I needed surgery as soon as possible. I was in shock as this will be my 3rd surgery this year and my job is going to freak out. I was so stunned at the news I forgot to ask how long I will be off work. I need screws and pins to reposition the bone since my pinkie finger has a broken off neck that has shifted towards my ring finger. I have to get a CT scan next week and take that to the surgeon.

Comment from: sandij, 55-64 Female (Patient) Published: May 11

I broke the base of the fifth metacarpal in January 2015 and here it is May of 2015 and I still can't make a fist, the wrist is very painful, and when bending the ring and pinky finger it feels like the knuckles are going to pop through the skin. When the dog nudges my fingers from the middle one to the pinky, or I just bump them, I am in tears from the pain. I am usually quite stoic but, this has been quite the ordeal. The knuckle at the base of the pinky is below the knuckle of the ring finger. It is not in alignment at all.

Comment from: damnitdtc, 35-44 Female (Patient) Published: October 05

I was helping a girlfriend of mine who is currently addicted to heroin. I was helping her detox. (I don't want my friend to die). But by day 4 things got ugly and I have a classic brawler's hand injury now. My 4th and 5th metacarpals and pinky metacarpal-phalangeal are broken. The cast has been on 6 weeks. I plan to take it off this week. It hurts. That's all I can say and now I own a heavy bag.

Comment from: dave, 65-74 Male (Patient) Published: August 25

I was using a table saw to crosscut drawer sides. The saw blade engaged a 6' x 19' x 3/4' and threw it back into my fourth knuckle (kickback), and the knuckle immediately turned black and blue and a deep laceration was noted on the knuckle itself. The wound has been cleaned with soap and water, by soaking in an Epsom salts and hot water bath, and by hydrogen peroxide. The knuckle is very painful and the finger cannot be fully extended. After careful treatment of the injury by wooden splint securing the injured finger to its adjacent finger, and by taping it to the adjacent finger, after about three weeks the pain has receded and I am able to function on a reduced level.

Comment from: Bill, 35-44 Male (Patient) Published: June 23

The right dominant hand is broken so I'm key-pecking with the left. Three days ago I smashed up the metacarpals near the pinky finger. I heard bones crack. After a visit to the VA (Veteran's Affairs) doctor I opted out of a cast and bought splints and wraps. If you are thinking of going this route, don't! I have been shot twice and in 2 explosions in the Army with multiple injuries so I'm not dispensing advice with no experience. With that said, don't fool around with a hand injury like I did. If it's serious; you'll only have more problems later on.

Comment from: Jon, 35-44 Male (Patient) Published: March 24

I have a boxer's fracture in my right forth metacarpal, caused by a snowboarding accident where I tried to slow myself down by reaching for a fence post at a drag lift. I managed to board back, over 4 valleys though. I have been to Accident and Emergency who have taped my ring finger to the middle finger and placed the arm in a sling to elevate. I have a 1st appointment booked in with an orthopedic specialist which has been put back 3 days due to surgeon's sickness. I hope this does not allow healing that will affect realignment.

Comment from: Michmama, 55-64 Female (Patient) Published: January 13

I broke my fifth metacarpal while trying to catch myself from falling. My hand went down unevenly, landing on a cushiony couch, and I heard a popping sound. At first I thought it was my little finger, but then my hand swelled up a lot and there was a lot of pain when moving my fingers. An X-ray confirmed fifth metacarpal break. I have to wear a splint for four weeks.

Comment from: Zebu dee, 45-54 Female (Patient) Published: November 18

I went over a jump on a horse and heard a crack when we landed. My hand got very sore very quickly. I fractured my fifth metacarpal and had a cast for four weeks. It's now off but it has been really painful since all over my wrist and hand due to the way it held in cast. I'm getting movement back but the pain in my hand wakes me early every day.

Comment from: crooked hand, 25-34 Male (Patient) Published: August 21

I had a boxers fracture on my pinky. I am in the third week and my third splint. The doctors could never straighten the angle and told me I did not need surgery. My hand is almost healed although the bone is still crooked.

Comment from: tina200664 , 45-54 Female (Caregiver) Published: May 30

My son broke his 3rd and 4th knuckle in a fight in school. They did surgery and put 2 pins in it.

Comment from: beth678, 45-54 Female (Patient) Published: September 20

I got a boxer's fracture after falling off my bike when I skidded on gravel. I had intense pain when moving that hand, so went to the ER and had it X-rayed. I had a jagged diagonal break in the 5th metacarpal and was referred to the orthopedic surgeon. He did surgery the same day and put four pins in my hand. I had a cast for four weeks, and then a splint for four weeks along with physical therapy. My pain is greatly reduced now, and I can make a complete fist with little pain, mostly stiffness. However, the X-rays have shown no bone growth as of yet, and I need to decide whether to wait longer or try a bone stimulator. Surgery to put on a plate with screws to close the gap is also an option, but the surgeon wants to wait a bit before trying that.

Comment from: Love to Ride, 65-74 Female (Patient) Published: August 17

I got a boxer's fracture from taking a header off my bike. I was firmly gripping the handlebars when I went down and the brake lever mashed my left hand. I had multiple cuts and abrasions on my knees and knuckles, cracked my bike helmet and banged up my knees. When my hand still hurt significantly after a week of icing and ibuprofen, I finally went to see an orthopedist. Now I have a splint which must stay on for three weeks.

Comment from: Gostem101, 13-18 Male (Patient) Published: April 29

I got into a fight at school and right after felt a sharp pain under the joint, I looked and it was swollen. I went to the ER and they said it wasn't swelling -- that it was actually the bone pressing against my skin. I have surgery tomorrow and if it doesn't stay I'll have it pinned.

Comment from: LorenaHdez, 35-44 Female (Patient) Published: March 15

I ended with boxer's fracture on my ring and pinky fingers on my right hand. I did experience pain and swelling but did not think it was fractured. Not until 4 days later did I start thinking it might be fractured. The swelling did improve but the pain got worse. I was not able to move those two fingers and noticed that my knuckles were not visible when I tried to make a fist. Now I have a cast for a few weeks.

Comment from: chris, 35-44 Male (Patient) Published: March 10

I suffered a boxer's fracture at the fifth metacarpal area and needed a pin through my knuckle. The doctor did not feel I needed that and simply casted the hand and sent me through physical therapy. We'll see how that goes. I now have no knuckle and can't move my pinky finger much.

Comment from: Staysee, 25-34 Female (Patient) Published: March 28

I have a boxer's fracture of the fifth metacarpal. I have one day to decide if I want to have surgery or just have a cast put on it. The doctor told me that if I don't have surgery, I might lose the use of my knuckle and my pinky finger will curve toward my thumb when I make a fist.

Medically reviewed by John A. Daller, MD; American Board of Surgery with subspecialty certification in surgical critical care

REFERENCE: MedscapeReference.com. Metacarpal Fractures.

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