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Boxer's Fracture

Kiti's picture
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94 Points
Yellow Jacket

So, my sister has a boxer's fracture. The bone in her hand which is under the pinky broke near the top. She broke it in a simple fall, running around outside in the dark and smacking it on concrete. This was Tuesday night.

She doesn't have insurance, and can't afford medical bills without help from family like me.

She didn't think it was broken at first, because she could still move all her fingers. She wasn't sure if she should get it looked at, so she did some online searching and the advice she found was that the hand has so many small bones in it, and you really need your hands, so you should really get it checked out. On Wednesday she went to Concentra Urgent Care Clinic for an x-ray. The urgent care clinic is much cheaper than the hospital, I think. They x-rayed it and found the boxer's fracture, and splinted it. She asked the doctor what would happen if she just left it alone, and he said he wouldn't even think of not getting it set. He referred her to a hand specialist.

Today, Thursday, I took her to her appointment at the hand specialist doctor. He examined her and her x-ray and said it didn't need to be set, that it is 10-15 degrees offset as it is now and if it is less than 30 degrees offset that it will heal on its own with full functionality, and that if he set it without pins (i.e., without a surgery) that it would not stay set and would go back to how it is crooked. He put a cast on her and told her to come back in three weeks to get the cast taken off and get a follow-up x-ray. She is satisfied with the treatment, but I am not sure about it and my mom is downright mad. I was with my sister during the consultation and I asked if she would still be able to play violin, do karate or judo or any other sports, and grip. He said she would be able to do anything that she was able to do before, and the only difference is that the knuckle will not stick out as much when she makes a fist.

My question is, does anyone have experience with this fracture, and how were you treated? One of my close friends had this fracture fifteen years ago, and said that she was treated by getting it set, pinned, and splinted. This treatment presumably involves surgery. I don't know whether to look for a second opinion (I don't even know where to look, and it would be another ton and bunch of money, probably out of the money I'm saving for nursing school tuition, but if it makes a difference for my sister I would do it). I left a message for my judo teacher and am waiting for him to call me back.

Well, I gotta run off to work now, I'll check back on this thread tonight. Thanks.

judobrian's picture
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10-15 degrees of angulation is mild. Most hand surgeons that I know won't try a closed reduction ("setting it") for anything less than 45 degrees, and certainly not pinning it. Not a hand surgeon, but this recommendation from yours is well within my experience and what I've been taught. I would trust the specialist in the field over the urgent care doctor, who could have been trained in anything. JMO, etc.

Kiti's picture
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85 Posts
94 Points
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Thanks for your response, judobrian! I have been getting similar responses from everyone I ask, except for my mom and my friend who had the same fracture. However, I don't know what angle her fracture was offset by. Probably more than 30 degrees, I suppose. One of my other online friends (who has lots of experience with broken bones, although not boxer's fracture) said maybe we should follow this doctor's advice and see if the hand works out, and if it doesn't, then look into surgery to break and re-set it later.

kjhinn's picture
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I have had one; they recommended pins and at the time I did not have insurance.

It eventually healed on its own and I am able to use it sparring with nothing bad happening.

I do get flares of arthiritis at times, but that will happen even if she did get pins.

Tony

Sharks gotta swim or it dies.

judobrian's picture
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Hope she heals up well.

tat2edup's picture
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I broke the metacarpel behind my pointer finger but it was a severe break, almost compound but luckily it was during a fight and the guaze, tape and glove helped keep it from poking through the skin. The bone snapped in half and slid on top of itself and actually pulled my finger in a little. My right pointer was a whole joint shorter than my left. Of course I had to have my pinned and casted. It is fully functional now but I have a nice little hump from a calcium deposit. Every now and then my hand will close from shooting pain but its short and spuratic.

Hope she heals up good bro.

-Adam Mays "Courage is endurance for one moment more" "If size mattered, the elephant would be the king of the jungle." FREESTYLE AMERICAN SHOOT TEAM Thanks to eagles for the sig!

Kiti's picture
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Wow tat, sounds like a bad break.

My sister gets her cast off on Thursday, and hopefully everything is all good. She wants to take CPR class on Friday (the next day) or Sunday. They wouldn't let her take the class with one hand, and she had been scheduled to take it a few days after she broke her hand. She needs it to apply for a part-time job doing what I do.

I'll post back here after I see her on Thursday! I'm trying to convince her to come to Judo tomorrow just to get everyone to sign her cast. She had just started Judo about three weeks before she broke her hand.

twb's picture
twb
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I had a boxer's fracture that I actually got from judo. Threw a guy and he landed on my hand, breaking the third and fourth bone in my hand. Went to the doc and he didnt set it ( just put it in a cast) and it healed fine. I have no problem with grip or anything. Hand pops when I close it due to damaged cartridge but doesnt effect anything.


Never argue with an idiot, cause he'll bring you down to his level and beat you with experience

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