Conservative treatment of boxer's fracture: a retrospective analysis

To investigate the outcome of conservative treatment, with and without closed reduction, 45 patients with fractures of the fifth metacarpal neck were evaluated 1 to 5 years after the initial injury. Radiographs were then taken to compare angulation and length with the original radiographs. The range of motion of the joints of the little finger was measured and the grip strength was assessed. The effects of malrotation on cosmetic appearance were observed, as were any signs of dystrophy. Finally, the patient's subjective opinion was obtained. Disability due to the injury was found in three patients while two others had moderate symptoms during daily activities. There seems to be little indication for closed reposition or operative treatment.