BOXER’S FRACTURE

AN EXPERIENCE REPORT

Abstract

Objective: To report a case of neck fracture of the 5th metacarpal treated conservatively with plaster in the shape of a boxing glove and to analyze the clinical result with the proposed treatment. Materials and Methods: Patient with pain in his right hand after delivering a punch. Radiographs were taken and a fracture of the neck of the 5th metacarpal was diagnosed. As treatment, fracture reduction was performed by means of the Jahss maneuver and then immobilization was made with plaster in the shape of a boxing glove. Results: After 12 weeks, the patient was asymptomatic, with restored range of motion and strength, comparable to the contralateral side. Conclusions: Boxer’s fracture does not tolerate rotational deviations, but with angular deformities of 30° to 45°, shortening up to 5 mm, it can be treated non-surgically and present an adequate functional outcome.