$Unique_ID{BRK01254}
$Pretitle{Ill Defined Symptoms and Rare Diseases, Musculoskeletal System and
Connective Tissue}
$Title{Ever Come Across the Term "Boxer's Fracture"?}
$Subject{fracture sports boxer's}
$Volume{N-17, M-17}
$Log{}

Copyright (c) 1991   Tribune Media Services, Inc.


Ever Come Across the Term "Boxer's Fracture"?


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QUESTION:  Ever come across the term "boxer's fracture"?  Though I suspect I
might figure this one out, I would appreciate your explanation.  Is it
difficult to treat?

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ANSWER:  A "boxer's fracture" is simply cracked knuckles, a common side effect
of fist fighting, and is frequently called this even when caused by other
circumstances.  There are several options for treating such a fracture, and
the final decision on how to treat it depends on the severity of the injury,
how important the hand's function is to the patient, and how often he expects
to be using the hand as a weapon.  For instance, if he uses his hands in his
work or hobbies, he may opt for more aggressive treatment.  And, if the
patient is a regular fist fighter, then the possibility of re-injury must be
considered before advising extensive and delicate surgical repair.  The
choices for treatment of boxer's fracture mainly revolve around whether to
operate or treat more conservatively with protective splinting.  More time is
lost from work when surgery is chosen, because recovery is slower.  There is
some controversy over whether the functional and cosmetic improvements gained
in surgery are worth the delayed recovery that it involves.
     The best results in treating boxer's fracture occur when the extent of
the injury is fully evaluated, considering how the hand is used in
occupational and leisurely pursuits, and how important cosmetic results are.
Based on this information, the patient can decide with the physician, on the
best course of action.
ÿ
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The material contained here is "FOR INFORMATION ONLY" and should not replace 
the counsel and advice of your personal physician.  Promptly consulting your 
doctor is the best path to a quick and successful resolution of any medical 
problem.
