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Hand Trauma – Fractures and Dislocations
Published in Dorian Hobday, Ted Welman, Maxim D. Horwitz, Gurjinderpal Singh Pahal, Plastic Surgery for Trauma, 2022
Dorian Hobday, Ted Welman, Maxim D. Horwitz, Gurjinderpal Singh Pahal
Metacarpal fractures are generally caused by punching a hard object or from an impact to the dorsum of the hand. The most common fracture sites of the metacarpal are neck and shaft, with fractures to the base and head less common. The most common fracture you will encounter is a closed ‘boxers fracture’, which is a fracture to the neck of the 5th metacarpal.
Answers
Published in Thomas Hester, Iain MacGarrow, Surgical SBAs for Finals with Explanatory Answers, 2018
The fracture described is often called a boxer’s fracture in view of the fact that it is normally sustained by the patient striking a solid object with his or her fist, for example a wall or another individual’s skull. Patients with this injury may have poor recall of events leading up to the injury, often due to accompanying alcohol intake, or may deliberately withhold information making them poor historians.
Surgery of Upper Extremity
Published in Stephen M. Cohn, Matthew O. Dolich, Kenji Inaba, Acute Care Surgery and Trauma, 2016
Wendie Grunberg, Shari Lawson, Howard T. Wang
A boxer’s fracture is a common name for a fracture of the distal fifth metacarpal commonly caused by punching an object with a closed fist. If the forces are severe, the fractures can be comminuted and displaced and may result in an obvious deformity. The angulation of the metacarpal head may be accompanied by impaction or rotation of the metacarpal head.
Survey of hand surgeons’ and therapists’ perceptions of the benefit of common surgical procedures of the hand
Published in Journal of Plastic Surgery and Hand Surgery, 2018
Olli V. Leppänen, Jarkko Jokihaara, Esa Jämsen, Teemu Karjalainen
There were two types of questionnaires: (1) A randomised half of the hand surgeons and residents, and all hand therapists, received a questionnaire that described six patient cases with a hand complaint (carpal tunnel syndrome, flexor tendon injury, dorsal wrist ganglion, thumb amputation, boxer’s fracture, and mallet fracture), and (2) the other half of the hand surgeons and residents received a questionnaire that asked the recipient to imagine him- or herself having the same six described hand complaints. The randomisation was carried out using a random number generator software. Each responder was only shown one questionnaire, and he or she was unaware of the other questionnaire. All cases were accompanied by a proposal for surgical treatment and a set of questions related to the choice of treatment. The patient cases are described in Tables 1–6 and Figures 1–3.