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A boxer's fracture is the break of the fifth metacarpal bone of the hand near the knuckle. [4] Occasionally, it is used to refer to fractures of the fourth metacarpal as well. [1] Symptoms include pain and a depressed knuckle. [2] Classically, it occurs after a person hits an object with a closed fist. [3]
The first annular pulley (A1 pulley), near the head of the metacarpal bone, lies in the flexor groove in the deep transverse metacarpal ligament. As a general rule, the A1, A3, and A5 pulleys in the fingers are "joint pulleys" that originate from the volar plate on the volar aspect of the metacarpophalangeal , proximal interphalangeal , and ...
The ring metacarpal is somewhat more mobile while the fifth metacarpal is semi-independent. [1] Each metacarpal bone consists of a body or shaft, and two extremities; the head at the distal or digital end (near the fingers), and the base at the proximal or carpal end (close to the wrist).
A collateral ligament flanks each MCP joint - one on either side. Each attaches proximally at the head of the metacarpal bone, and distally at the base of the phalynx. Each extends obliquely in a palmar direction from its proximal attachment to its distal attachment. [2]
The first metacarpal bone is short and thick with a shaft thicker and broader than those of the other metacarpal bones. Its narrow shaft connects its widened base and rounded head; the former consisting of a thick cortical bone surrounding the open medullary canal; the latter two consisting of cancellous bone surrounded by a thin cortical shell.
The Bennett fracture is an oblique intraarticular metacarpal fracture dislocation, caused by an axial force directed against the partially flexed metacarpal. This type of compression along the metacarpal bone is often sustained when a person punches a hard object, such as the skull or tibia of an opponent, or a wall. It can also occur as a ...
Carpometacarpal bossing (or metacarpal/carpal bossing) is a small, immovable mass of bone on the back of the wrist. The mass occurs in one of the joints between the carpus and metacarpus of the hand , called the carpometacarpal joints , where a small immovable protuberance [ 1 ] occurs when this joint becomes swollen or bossed.
A fracture of the fourth and/or fifth metacarpal bones transverse neck secondary due to axial loading is known as a boxer's fracture. [1] [[ Boxer%27s_fracture#{{{section}}}| contradictory ]] ] The fifth metacarpal bone is the most common bone to be injured when throwing a punch.