Rapid Review: Boxer Fracture
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Reviewed January 2024
Boxer Fracture
- Fifth metacarpal
- Punching an object with closed fist
- X-rays to measure angulation
- Evaluate for fight bite on physical exam
- Ulnar gutter splint
- Hand surgery consult for open fractures, malrotation, neurovascular injury
Sample question:
A 17-year-old boy presents to the clinic with right-hand pain after punching a wall. Physical examination reveals swelling over the dorsum of the right hand with bony tenderness noted with palpation of the fifth metacarpal. What is the most likely diagnosis?
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Categories: Adult-Gerontology Primary Care , Certified , Certified Emergency Nurse , Clinical Year , Didactic Year , Emergency Medicine , Emergency Nurse Practitioner , Family Medicine , Family Nurse Practitioner , Internal Medicine , Pediatric Emergency Medicine , Pediatric Primary Care , Pediatrics , Rapid Review ,
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