The boxer's fracture: Splint immobilization is not necessary

John C. Dunn*, Nicholas Kusnezov, Justin D. Orr, Mark Pallis, Justin S. Mitchell

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

22 Scopus citations


Fractures of the fifth metacarpal neck, or boxer's fractures, are common, particularly among young men. Because of the high frequency of this injury, there is a considerable range of treatment options. The purpose of this systematic review was to determine whether reduction and splint or cast immobilization is necessary for fractures of the fifth metacarpal neck. The authors conducted a systematic review of all published studies that randomized these fractures to cast immobilization vs treatment with soft wrap without reduction. Cast immobilization is not superior to soft wrap without reduction in most cases. The study found that reduction and cast immobilization is not necessary for boxer's fractures.

Original languageEnglish
Pages (from-to)188-192
Number of pages5
Issue number3
StatePublished - 1 May 2016
Externally publishedYes


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