TY  - CHAP
M1  - Book, Section
TI  - Boxer’s Fracture
A1  - Breed, Meghan
A1  - Fitch, Robert Warne
A2  - Knoop, Kevin J.
A2  - Stack, Lawrence B.
A2  - Storrow, Alan B.
A2  - Thurman, R. Jason
Y1  - 2021
N1  - 
T2  - The Atlas of Emergency Medicine, 5e
AB  - A  metacarpal  neck  fracture  of  the  5th  digit  may  occur  after  a  direct  blow  to  the  MCP  joints  of  the  clenched  fist.  The  apex  of  the  fractured  metacarpal  bone  is  dorsal.  On  physical  examination,  the  “knuckle”  is  flattened  and  can  be  palpated  on  the  volar  surface.  Exam  should  address  neurovascular  integrity  and  rotational  deformity.  Rotational  deformity  is  evaluated  by  having  the  patient  flex  the  digits  at  the  proximal  interphalangeal  (PIP)  and  distal  interphalangeal  (DIP)  joints;  the  four  digits  should  point  toward  the  scaphoid.  If  the  involved  digit  overlaps  another  digit  or  does  not  point  toward  the  scaphoid,  a  rotational  deformity  is  present  and  needs  to  be  corrected.  
SN  - 
PB  - McGraw-Hill
CY  - New York, NY
Y2  - 2021/01/16
UR  - accessemergencymedicine.mhmedical.com/content.aspx?aid=1177130110
ER  -