Boxer’s Fifth Metacarpal Fracture


Presentation

The patient seeks help for painful swelling of the hand over the distal fifth metacarpal (MC) after punching an object or another person with a closed fist. It occurs commonly during fistfights or from punching a hard object, such as a wall or a filing cabinet, and may be an act of deliberate self-harm or a compulsive action while enraged.

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