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Wrist & Hand

Boxers Fracture

A boxers fracture is a break in the neck of the fifth metacarpal bone near the small finger knuckle. It commonly occurs after punching an object or direct trauma to the hand.

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Typical Recovery Time
Recovery usually takes 4 to 8 weeks depending on alignment.

Symptoms

  • Hand pain
  • Knuckle swelling
  • Bruising
  • Grip pain
  • Finger rotation

Common Causes

  • Punching injury
  • Direct impact
  • Fall
  • Sports trauma
  • Hand collision

Treatment Options

1Splinting
2Buddy taping
3Reduction if needed
4Surgery if severe
5Hand therapy

When to See a Doctor

See a doctor if hand swelling, deformity, or finger rotation occurs.

Frequently Asked Questions

What is a boxer’s fracture?
A boxer’s fracture is a break in one of the bones of the hand, usually the bone leading to the pinky finger. It often occurs after punching an object. This injury can cause pain, swelling, and difficulty using the hand.
What causes a boxer’s fracture?
It is most commonly caused by punching a hard object or surface. Sports injuries and falls can also lead to this fracture. The force travels through the hand and causes the bone to break.
What are the symptoms?
Symptoms include pain, swelling, bruising, and tenderness over the hand. The finger may look misaligned or shortened. Gripping or moving the hand can be painful.
How is it treated?
Treatment depends on alignment and may include splinting, casting, or bracing. Many fractures heal without surgery. Surgery may be needed if the bone is significantly displaced.
How long does recovery take?
Healing usually takes about 4 to 6 weeks. Return to sports depends on strength and comfort. Protective bracing may be used during return.

Find a Sports Medicine Provider

Connect with a doctor, physical therapist, or imaging center near you.

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