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Most injuries are easily distinguishable due to swelling, deformity to the region, contusions, or being in an incorrect anatomical position. Other causes can be from trying to break a fall with your hand, violent twisting of the hand or finger, or from contact during sports. However, one can also sustain this injury in other ways not related to punching. In most cases, the fighters are inexperienced and did not have the proper form when sparring, causing the fracture to occur. This injury occurs commonly during fist fights or from punching a hard object. Problems trying to grip with the injured hand.The knuckle of the affected finger appearing flat.Limited ability to move the pinky or ring finger.Tenderness near the base of the pinky finger.Some patients may present with misalignment of the associated finger. Symptoms of Boxer’s fracture may include pain or tenderness centered in any given location of the hand corresponding to the metacarpal bones. Characteristics and Clinical Presentation of Boxer’s Fracture This injury is a result of acute trauma to a clenched fist, usually acquired during contact sports involving force with the hands. This injury gets its name from its high occurrence in inexperienced boxers and it is sometimes called “Brawler’s fracture.” X-ray from a patient with Boxer’s Fracture What is Boxer’s Fracture?Ī boxer’s fracture is a break in the neck of the fifth metacarpal bone of the hand, which is at the base of the finger.