Boxer’s Fracture: Causes, Symptoms And Treatment

by Administrator 27. April 2016 12:23

Boxer’s fracture or Brawler’s fracture, refers to a break or crack in the metacarpal bones that form the knuckles of the hand.

There are 5 metacarpal bones in each hand with same structure (base, shaft, neck and head). The head of the metacarpal bone joins with the proximal phalangeal bone of each finger and forms the metacarpophalangeal (MCP) joint or the knuckles. A break or fracture in the neck part of the metacarpal bone is termed as a boxer’s fracture.

Though the fracture can be seen in any of the MCP joints, it most commonly affects the little and ring finger.

Causes:

  • Punching (a hard object)
  • Hand striking forcefully on an immovable surface

Symptoms:

  • Severe Pain
  • Swollen hand
  • Bruising or localised discoloration near the knuckles
  • Clicking or snapping sound at the time of injury
  • Painful movements of the hand
  • Limited range of movement
  • Misalignment of the bones when trying to make a fist
  • Open wound, in case of injury due to animal bite or hitting a sharp object
  • Little finger may bend inwards
  • Inability to bend or straighten the finger


Diagnosis:

A complete physical examination may reveal tenderness at the joint, misaligned bones, etc. X-ray or CT scan may be conducted to diagnose the severity of the fracture and identify the presence of any foreign body, in case of an open wound in the hand.

Treatment:

  • The initial course of treatment may involve:
  1. Ice packs to reduce the pain and swelling
  2. Immobilization
  3. Elevation of the hand
  • Splinting may be done to support the hand and allow the bones to heal.
  • Open fractures may require stitches to avoid any infection. The doctor may also remove any foreign objects present in the hand.
  • Anti-inflammatory drugs may be prescribed to ease pain and discomfort
  • After the swelling has subsides, physical therapy may help to restore the range of motion of the hand.
  • Antibiotics may be prescribed in case of an open wound or pus formation is noted in the hand.
  • Surgery may be needed if the metacarpal bone undergoes angulation, i.e. it moves from its normal position.

Dr. Allmon is a leading hand and wrist surgeon providing treatment for boxer’s fracture. To schedule an appointment with the Carrollton, TX based surgeon, call at (972) 492 – 1334.

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Wrist Fracture: Orthopedic Treatment In Carrollton

by Administrator 23. February 2015 10:56

Wrist fracture is a common condition characterized by a break or crack in any of the three bones within the wrist – the Radius, Ulna or the Carpal bones. It is usually caused as a result of a fall on an outstretched hand or sudden high impact movements of the wrist. The condition can also occur due to participating in certain sports like soccer, wrestling, snowboarding, rugby etc.

Causes

  • Falls: Improper landing onto a stretched out hand is one of the most common causes of a wrist fracture.
  • Motor Vehicle Accidents: High impact vehicle accidents can also cause the wrist ones to break in several pieces.
  • Repetitive Activities: People who need to perform repetitive activities like driving, panting, typing or sewing are prone to stress fractures of the wrist.
  • Sports Injuries: Most wrist fractures occur while laying contact sports such as tackle football, basketball etc.
  • Other Medical Conditions: Orthopedic problems like Osteoporosis or Paget’s disease make the bones weak and fragile. This increases the chances of a wrist fracture.

Symptoms

  • Intense pain that increases while trying to bend or rotate the wrist
  • Bruising and swelling
  • Visible deformity
  • Tenderness
  • Numbness and stiffness in the hand
  • Difficulty moving the thumb or fingers
  • Decreased range of motion
  • Inability to grasp or lift things

Diagnosis

To diagnose a wrist fracture, the orthopedic doctor may conduct a physical examination to check for swelling, range of motion, open wound, bleeding, nerve damage etc. He may also recommend certain imaging tests such as X-ray, CT scan or MRI to evaluate the extent of damage caused to the wrist bones.

Treatment

  • Medications: The wrist specialist may prescribe non-steroidal anti-inflammatory medications to reduce the pain and inflammation in the joint.
  • Immobilization: The patient must restrict the movement of the wrist to allow the broken bones to heal. A cast or brace can also be worn to provide support to the wrist.
  • Physical Therapy: After the cast has been removed, performing certain stretching exercises can help to restore the normal strength and range of motion of the wrist.
  • Surgery: This is usually required in case of open and displaced fracture or if the bones have been broken into multiple pieces. During the procedure, the orthopedic surgeon may implant metal late, rods or screws to join the bone fragments together.

For comprehensive diagnosis and treatment of wrist fracture, visit Dr. Allmon in Carrollton, TX. To schedule an appointment with the wrist specialist, you can call at (972) 492 – 1334.

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