(Fifth Metacarpal Fracture)
by Cynthia M. Johnson, MA
Boxer's fracture is a break in the long bone that connects the little finger to the wrist. It can take up to 6 weeks to fully heal.
Fractures may either be:
The fracture may be caused by:
Things that may raise the risk of this fracture are:
A boxer's fracture may cause:
The doctor will ask about your symptoms and health history. You will also be asked how the injury happened. A physical exam will be done. The finger will be checked.
Images may be taken of your hand. This can be done with x-rays.
The fracture is treated based on the level of injury. Options are:
Initial care may be:
Children's bones have growth plates that let bones grow and harden with age. A child with this type of fracture will need to be checked over time to make sure the bone heals the right way and keeps growing.
Some fractures cause pieces of bone to come apart. These pieces will need to be put back into the right place. This may be done:
Most fractures happen due to accidents. Healthy bones and muscles may help prevent injury. This may be done through diet and exercise.
To lower your chance of this type of fracture:
American Orthopaedic Society for Sports Medicine
Ortho Info—American Academy of Orthopaedic Surgeons
Canadian Orthopaedic Association
Hand fractures. Ortho Info—American Academy of Orthopedic Surgeons website. Available at:
...(Click grey area to select URL)
Updated March 2018. Accessed September 20, 2019.
Metacarpal neck fracture—emergency management. EBSCO DynaMed website. Available at: https://www.dyname.... Accessed September 20, 2019.
Wong VW, Higgins JP. Evidence-Based Medicine: Management of Metacarpal Fractures. Plast Reconstr Surg. 2017 Jul;140(1):140e-151e.
Last reviewed September 2019 by EBSCO Medical Review Board Teresa Briedwell, PT, DPT, OCS, CSCS