Metacarpal Neck Fractures

Fractures most commonly affect the fifth metacarpal.

Also Known as:

‘Boxer’s fracture.’

Mechanism of Injury

These normally arise as a result of a punching injury.

Clinical Features

Localised pain, swelling and flattening of the knuckle occurs.

Radiographs confirm the diagnosis: a transverse fracture with the distal fragment being tilted anteriorly.