What is the conservative treatment for a boxer’s fracture?
Conservative treatment of a boxer’s fracture is warranted in most situations where there is not significant fracture angulation and there is no significant rotational deformity. Conservative care involves possible fracture reduction, often requiring local anesthetic, followed by splinting or casting of the hand and small finger in the intrinsic plus position (MCP flexion, PIP and DIP extension). Allowing for some digital motion may produce improved results. Acceptable angulation is less than thirty degrees, with decreasing grip strength associated with increased angulation. The period of immobilization should last three to four weeks, followed by protective splinting until six weeks, with fracture healing requiring six to ten weeks. More Information: Read about sports injury treatment using the P.R.I.C.E. principle – Protection, Rest, Icing, Compression, Elevation. What are the surgical options for treatment of a boxer’s fracture? Surgical treatment is indicated for those fractures wit