Physical Therapy Nest

Diagnosis typically includes:

• Medical history review (mechanism of injury, type of impact).

• Physical exam to check for tenderness, swelling, or knuckle deformity.

• Imaging:

  • X-rays to confirm the fracture and measure angulation.

  • CT or MRI is rarely needed unless complications are suspected.

Most boxer’s fractures heal with immobilization, but physical therapy is vital after casting or splinting. Therapy may include:

• Edema control with compression, elevation, and massage

• Manual therapy to restore mobility in the hand and fingers

• Range of motion exercises for the fingers and wrist to prevent stiffness

• Strengthening exercises for grip, pinch, and forearm muscles

• Scar management if surgery is performed for severe displacement

• Functional retraining to restore daily activities and fine motor skills

• Education on protecting the hand and avoiding reinjury

Common signs of a boxer’s fracture include:

• Pain and swelling on the pinky side of the hand

• Bruising and tenderness around the knuckle

• Reduced grip strength

• Inability to fully straighten the pinky finger

• Visible knuckle deformity or depressed knuckle appearance

• Stiffness and weakness if left untreated

To reduce the risk of boxer’s fractures and complications:

• Use proper technique and protective gear during contact sports or martial arts

• Avoid punching hard objects with a closed fist

• Strengthen hand and forearm muscles for better support

• Practice safe falls to reduce hand trauma

• Address hand pain early to prevent worsening damage