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Boxer’s fracture

What is a boxer’s fracture?

A boxer’s fracture is a break in the metatarsal of the little finger, it is the most common break after an injury from a clenched fist when punchings something or someone. Other causes can be from breaking a fall with the hand, forceful twisting of the finger, or contact sports. 

What are the symptoms of a boxer’s fracture?

  • Pain

  • Swelling

  • Bruising

  • Inability or limited movement of the little finger

  • Difficulty with gripping or forming a fist with the hand

  • Numbness or tingling in the hand

  • The knuckle of the little finger appears flat

When does a boxer’s fracture require surgery?

Dr. Azouz will review x-ray images to check the alignment of the bones. A minor boxer’s fracture with minimal displacement can be treated with RICE (rest, ice, compression, elevation), therapy, and splinting. For a fracture that is displaced and angulated, most require surgery to re-align the bones and repair the fracture. 

How is a boxer’s fracture surgery performed?

Dr. Azouz will perform a reduction of the metatarsal bone and repair the fracture with pins or screws. He will also repair damage to any nearby structures, including ligaments, tendons, muscles, blood vessels, and nerves, as necessary.

What is the anesthesia for a boxer’s fracture surgery?

Dr. Azouz uses sedation with local anesthesia for hand surgeries. His patients are sedated in a deep sleep to help them relax. He then injects an axillary block to numb the arm, which can last up to 24 hours after the procedure. 

What is the recovery from a boxer’s fracture surgery?

After the procedure, Dr. Azouz will place a splint over the hand for protection. He will see his patients for routine follow-up visits to monitor their progress. He will instruct patients on how to care for the pins if placed and explain the range of motion exercises to help regain strength and movement.

What is the cost of a boxer’s fracture surgery?

The cost of this surgical procedure can vary widely. Dr. Azouz will assess his patients with a medical history and physical examination to help determine the costs. If there is an injury at work, most workers’ compensation carriers cover the cost of surgery.