A boxer’s fracture of the hand is one of the more common hand injuries in young adults. This is a fracture of the fifth metacarpal neck right below the knuckle under the little finger, or pinky. In this Ask Dr. Geier video, I discuss these injuries and whether they can occur in different metacarpals and whether the treatment would change.

Cortney asks:
Does a boxer’s fracture have to be associated with the fifth metacarpal?

Usually orthopedic surgeons consider a boxer’s fracture to be a fracture of the fifth, or maybe the fourth, metacarpal neck. This is the part of the long bone on the outside of the hand just below the knuckle. If it’s the fourth metacarpal, it’s the same area, just one bone over. The mechanism of injury is usually still the same, punching a wall or another person.

It is possible to fracture the metacarpal neck of any of the five metacarpals, but technically they are not a boxer’s fracture. The treatment could be similar to a boxer’s fracture of the fifth metacarpal, below the pinky. But there is less room for angulation or improper alignment in this bone as compared to the fifth metacarpal. If there is any concern over what the next steps should be, consider seeing a hand surgeon for exam and x-rays to find out what the next steps are.

X-ray showing the location of a boxer's fracture

Also read:
When should you see a doctor for a boxer’s fracture?
What can cause a fracture to have delayed healing?

Please remember, while I appreciate your questions, I cannot and will not offer specific medical advice by email, on my website, on my podcast, or in social media. My responses are meant to provide general medical information and education. Please consult your physician or health care provider for your specific medical concerns.

I want to help you! Please take a few seconds to share the biggest challenge or struggle you’re facing with your injury! Click here!

Recommended Products and Resources
Click here to go to Dr. David Geier’s Amazon Influencer store!
Due to a large number of questions I have received over the years asking about products for health, injuries, performance, and other areas of sports, exercise, work and life, I have created an Amazon Influencer page. While this information and these products are not intended to treat any specific injury or illness you have, they are products I use personally, have used or have tried, or I have recommended to others. THE SITE MAY OFFER HEALTH, FITNESS, NUTRITIONAL AND OTHER SUCH INFORMATION, BUT SUCH INFORMATION IS DESIGNED FOR EDUCATIONAL AND INFORMATIONAL PURPOSES ONLY. THE CONTENT DOES NOT AND IS NOT INTENDED TO CONVEY MEDICAL ADVICE AND DOES NOT CONSTITUTE THE PRACTICE OF MEDICINE. YOU SHOULD NOT RELY ON THIS INFORMATION AS A SUBSTITUTE FOR, NOR DOES IT REPLACE, PROFESSIONAL MEDICAL ADVICE, DIAGNOSIS, OR TREATMENT. THE SITE IS NOT RESPONSIBLE FOR ANY ACTIONS OR INACTION ON A USER’S PART BASED ON THE INFORMATION THAT IS PRESENTED ON THE SITE. Please note that as an Amazon Associate I earn from qualifying purchases.