Pediatric Boxer Fracture

  • Etiology: Punching a hard structure
  • Imaging:
    — Fracture of distal metacarpal (usually fifth)
    — Look at the carpal-metacarpal joint on lateral view for possible dislocation
  • DDX:
  • Complications:
  • Treatment:
  • Clinical:

Radiology Cases of Boxer Fracture

Radiograph of boxer's fracture
AP (left) and oblique (right)radiographs of the hand show an angulated and minimally displaced fracture of the metaphysis of the fifth metacarpal.

Radiology Cases of Boxer Fracture and Preiser Disease

Radiograph of Preiser disease
AP (left) and oblique (right) radiographs of the hand show an angulated fracture of the distal fifth metacarpal bone. The scaphoid bone is also noted to be flattened and sclerotic.