A 27-year-old male presents to the ED with left hand pain after punching a wall. He has pain and swelling on the ulnar side of the dorsal hand. The above hand radiographs were obtained (image courtesy of Mark Hopkins).
References
Looking to bone up in general? Check out the SplintER archives. Want more information on hand radiographs? Check out SplintER Series: Case of a First Metacarpal Fracture or Trick of the Trade: Reducing the metacarpal neck fracture.
- Malik S, Herron T, Rosenberg N. Fifth Metacarpal Fractures (Boxer’s Fracture). In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan. PMID: 29261999
- Nakashian MN, Pointer L, Owens BD, Wolf JM. Incidence of metacarpal fractures in the US population. Hand (NY). 2012;7(4):426-430. PMID: 24294164
- Yang S, Kim JP. Hand Fractures. J Korean Fract Soc. 2018 Apr;31(2):61-70. DOI: 10.12671/jkfs.2018.31.2.61
- van Aaken, J, et al. Fifth metacarpal neck fractures treated with soft wrap/buddy taping compared to reduction and casting: results of a prospective, multicenter, randomized trial. Archives of Orthopaedic and Trauma Surgery: Including Arthroscopy and Sports Medicine. January 2016 136(1):135-142. PMID: 26559192