Episode May 22, 2017 4 min 16s

Podcast #207: Boxer's Fracture

From Emergency Medical Minute Emergency Medical Minute

Author: Sam Killian, M.D.

Educational Pearls:

Defined as fracture of neck (distal segment) of 5th metacarpal.
Intrinsic muscles of hand pull segment to palmar aspect of hand.
30 degrees of angulation is allowed. Any more increases risk of chronic pain, grip strength and grasping deficits, and rotational deformities.
Reduce fracture if more than 30 degrees of angulation or if rotation is present.
Splint fracture in "ulnar gutter" with goal being flexion at MCP and extension at DIP and PIP.

References: http://www.emedicinehealth.com/boxers_fracture/article_em.htm

Lloyd Burrell, Keith Block M.D., Jeffrey Smith, Michael Klaper M.D., Ralph Moss, Brenda Davis R.D., Mark Sloan, Gerald Posner, Ian Harris M.D., Neil Barnard M.D., Will Tuttle Ph.D., John McDougall M.D., Pam Popper Ph.D., Gabriel Cousens M.D., Brian Clement Ph.D., Anna Maria Clement Ph.D., Marianne W

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