$boxer fracture$

$boxer fracture$

This is because there is a large amount of compensatory movement (25º – 40º) at the 5th C.M.C. A large degree of forward angulation at the fracture site can be tolerated without affecting hand function. Loss of 5th Knuckle – Perfect alignment of the bone on X-ray is not always necessary to get an excellent result.The major indication to operate on a Boxer’s fracture is if the little finger is significantly rotated and is affecting the function of the ring finger. It may be combined with the insertion of wires through the skin.Īn open reduction with a plate allows immediate movement of the finger after the surgery which is desirable to prevent stiffness. An open reduction often requires the use of wires or plates and screws.Ī closed reduction alone is rarely performed for a Boxer’s fracture because it is unstable once the bone has been realigned ( due to crushing of bone at the fracture site). This can be done “ Closed” in which no cut is made and a plaster or splint is applied or “ Open” where a cut is performed and the bones are directly repositioned. “ Reduction” means pulling the bones back into place. Prevent Stiffness – early movement if the fracture is stable (even before the fracture has healed). It is wrapped around the hand and between the ring and little fingers to prevent the little finger catching on things.Ĥ.Discourages people from shaking your hand especially after 2-3 weeks when the pain has improved but the fracture has not united.Lets other people know that you have a fractured hand.

$boxer fracture$

Boxer fracture