Dr. Mark E. Pruzansky
Dr. Jason S. Pruzansky
975 Park Avenue New York, NY 10028

Boxer’s Fracture Treatments

Introduction to Boxer’s Fracture: Causes and Symptoms

A Boxer’s fracture is a common injury that occurs when one of the metacarpal bones in the hand, usually the one connected to the pinky finger, is broken due to a direct impact. This type of fracture typically happens during fist fights, hence the name “Boxer’s fracture.” Symptoms often include pain, swelling, bruising, and the potential for finger misalignment. Understanding the causes, diagnosis, and treatment options is vital for a successful recovery.

Anatomy of the Hand: Understanding the Injury

To comprehend the significance of a Boxer’s fracture, it’s crucial to grasp the anatomy of the hand. The metacarpal bones connect the wrist to the fingers and are vital for hand function. A Boxer’s fracture usually affects the fifth metacarpal bone, which supports the pinky finger. The precise location and severity of the fracture will dictate the treatment approach.

Diagnosis of a Boxer’s Fracture: Examination and Imaging

Swift medical attention is crucial if a Boxer’s fracture is suspected. A hand surgeon will conduct a thorough examination, considering symptoms and potentially ordering imaging tests, such as X-rays, to confirm the diagnosis and assess the extent of the fracture. Other boxing injuries to the hand and wrist will be assessed at the same time.

Non-Surgical Treatments for a Boxer’s Fracture

For stable fractures with limited misalignment, non-surgical treatments can be effective in managing and promoting healing.

Immobilization: Splints and Casts

Immobilization is a primary treatment method for a Boxer’s fracture. A splint or cast is used to immobilize the hand in satisfactory alignment of the fractured bone as it heals. The duration of immobilization varies based on the type and severity of the fracture.

Pain Management: RICE and Medications

A hand surgeon may recommend pain medications, both over-the-counter and prescription, to alleviate the discomfort associated with a Boxer’s fracture. Additionally, ice packs and elevation may help reduce swelling and pain.

Surgical Treatments for a Boxer’s Fracture

Hand surgery might be necessary in cases where the fracture is complex or unstable. Hand surgery is always the last and final option. If you do need hand surgery to repair your boxer’s fracture, your hand surgeon will consult on how to ensure a successful operation with as little pain and recovery time as possible.

Indications for Surgery

Surgery is generally advised when the fracture is extremely displaced, involves the joint, or when non-surgical treatments fail to align the bones properly. Decisions for surgery are influenced by factors such as the specific metacarpal bone affected, the degree of displacement, and individual patient needs.

Different Surgical Procedures for Boxer’s Fractures

Several surgical techniques can be employed to treat Boxer’s fractures:

  • Closed Reduction and Percutaneous Pinning: The surgeon manually repositions the fractured bone, and small pins or wires are inserted through the skin to hold the bones in place during healing.
  • Open Reduction and Internal Fixation (ORIF): An incision is made to access the fractured bone. The bone fragments are realigned, and screws, plates, or wires are used to stabilize them.
  • External Fixation: This method involves the use of an external device to stabilize the fractured bone. Metal pins or wires are inserted through the skin and connected to an external frame outside the body, providing stability and promoting healing.

Rehabilitation and Exercises for a Boxer’s Fracture

After the initial healing phase, rehabilitation and exercises are crucial for restoring hand function, strength, and mobility. An occupational therapist will collaborate with you and your hand surgeon to develop a personalized rehabilitation plan. 

This plan might involve exercises to enhance range of motion, strength, and flexibility of the hand. Functional activities could be integrated to improve coordination and dexterity. It’s vital to adhere to the therapist’s guidance and attend all scheduled rehabilitation sessions to achieve the best recovery.

Tips for Speedy Recovery from a Boxer’s Fracture

To expedite recovery and ensure optimal healing from a boxer’s fracture, consider these tips from our hand surgeons:

  1. Follow the Treatment Plan: Adhere to the prescribed treatment plan provided by your healthcare provider.
  2. Immobilization: Keep the hand immobilized as instructed to prevent further injury.
  3. Pain Management: Take prescribed pain medications as directed for pain relief.
  4. Rehabilitation: Attend all rehabilitation sessions and diligently perform recommended exercises.
  5. Overall Health: Maintain good health with a balanced diet, sufficient rest, and avoiding activities that strain the hand.

Prevention: Reducing the Risk of Hand Injuries

While preventing all injuries might be challenging, these steps can lower the risk of hand injuries:

  1. Hand Protection: Use hand protection during activities with a high risk of injury, like sports or manual labor.
  2. Technique: Practice proper technique to minimize strain and asymmetrical forces on the hands during physical activities.
  3. Safe Environment: Maintain a safe environment to prevent falls or accidents that could lead to hand injuries.
  4. Rest and Strengthening: Take breaks during repetitive tasks and perform exercises to strengthen your hands.

Do you think you may have a Boxer’s fracture?

Knowing the causes, diagnosis, and treatment options for Boxer’s fractures is essential for effective management and recovery. Non-surgical treatments are often effective, while surgical interventions may be necessary for more complex fractures. 

Rehabilitation and exercises play a crucial role in restoring hand function. By taking preventive measures and practicing hand safety techniques, the risk of hand injuries can be reduced. 

If a Boxer’s fracture is suspected, consult Dr. Mark E. Pruzansky or Dr. Jason S. Pruzansky immediately for accurate diagnosis and appropriate treatment.