So named because of the common occurrence in prizefighters, the fracture involves the distal metacarpal neck, usually of digit five. The distal fracture fragment is volarly angulated and may be externally rotated. The injury results from direct trauma to the hand.
PA radiograph of the hand. This is the typical appearance of a boxer's fracture with volar angulation of the distal fracture fragment.
Oblique radiograph of the hand. This confirms the volar displacement of the distal fracture fragment.
