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Tuesday, April 28, 2009

Ever Come Across the Term "Boxer's Fracture"?

QUESTION: Ever come across the term "boxer's fracture"? Though I suspect I might figure this one out, I would appreciate your explanation.
Is it difficult to treat?

ANSWER: A "boxer's fracture" is simply cracked knuckles, a common side effect of fist fighting, and is frequently called this even when caused by other circumstances.
There are several options for treating such a fracture, and the final decision on how to treat it depends on the severity of the injury, how important the hand's function is to the patient, and how often he expects to be using the hand as a weapon.
For instance, if he uses his hands in his work or hobbies, he may opt for more aggressive treatment.
And, if the patient is a regular fist fighter, then the possibility of re-injury must be considered before advising extensive and delicate surgical repair.
The choices for treatment of boxer's fracture mainly revolve around whether to operate or treat more conservatively with protective splinting.
More time is lost from work when surgery is chosen, because recovery is slower.
There is some controversy over whether the functional and cosmetic improvements gained in surgery are worth the delayed recovery that it involves. The best results in treating boxer's fracture occur when the extent of the injury is fully evaluated, considering how the hand is used in occupational and leisurely pursuits, and how important cosmetic results are. Based on this information, the patient can decide with the physician on the best course of action.


The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician.
Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.