Which type of fracture is commonly associated with the neck of the fourth or fifth metacarpal?

• A. Smith fracture
• B. Colles fracture
• C. Bennett fracture
• D. Boxer fracture

Answer: (D)

The fracture commonly associated with the neck of the fourth or fifth metacarpal is known as a Boxer fracture. This type of fracture typically occurs as a result of a direct impact, often from punching a hard object, and is characterized by a fracture line at the neck of the metacarpal bones. It is most prevalent in young males and is called a Boxer fracture due to its association with boxing or similar activities where the hands are used for striking.

The Boxer fracture often leads to swelling, pain, and decreased mobility in the hand, particularly in the affected metacarpal. Management usually includes immobilization and, in some cases, surgical intervention may be necessary depending on the angulation and displacement of the fracture. Understanding this fracture is crucial for radiographers since proper assessment can guide effective treatment plans.