Punchin’ out: Fifth metacarpal (boxer’s) fracture

Case presentation

A 15-year-old male presents with left hand pain after becoming angry and punching a wall. He did this several hours ago and his only complaint is medial hand pain; he denies digit, wrist, forearm, or elbow pain. He denies numbness or weakness. This is the second time he has sustained this injury. However, he was not seen the first time because he and his parents felt the injury was minimal but they both want to make sure that “nothing is broken this time.”

Imaging considerations