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  • Essay / Boxer's Fracture Case Study - 737

    BOXER'S FRACTUREAccording to the Mosby Dictionary, a boxer's fracture is defined as a fracture of one or two of the metacarpal bones, usually the fourth or fifth. This type of fracture is usually caused by hitting a hard object. The fracture is most often distal, angulated and impacted. INITIAL VISIT: MEDICAL HISTORY The patient was an 18-year-old white male. He arrived at the Chatham Orthopedic Clinic during the evening trauma clinic with his father on March 14, 2014. His main complaint was that his left hand was painful and swollen. He said the incident happened on March 13, 2014. He said he was playing baseball and ran into another player. When he removed his glove, the pain worsened and his coach on the baseball team realigned what he thought was a stuck finger. The little finger was turned and under the ring finger. He didn't have much pain unless there was physical activity with the finger. DIAGNOSTIC IMAGING Images of the left hand were taken in PA, oblique and lateral projections by the student radiologist with the assistance of the radiology technologist and reviewed by the physician. The three views of the images have not been attached to this case study. The presence of a left fifth metacarpal neck fracture was present with dorsal rotation in PA and Oblique images only. The patient was able to fully participate in the imaging process without further complaints. No further diagnostic procedures, including laboratory work, were performed that evening. EXAMINATION BY THE PHYSICIAN'S ASSISTANT The physician's assistant reported that the patient had diffuse swelling and tenderness over the dorsal ulnar aspect of the hand. She indicated a complete swing in the numbers, as we...... middle of paper ......patients at 81 percent. The left hand was less affected with 32 patients at 76 percent. It was suggested that younger patients recovered and had a better range of motion within two weeks, while it took longer for adults. Full recovery should be seen in the majority of patients within two months. The healing process takes into account the patient's age and state of health. A younger patient's bones heal more quickly than those of older patients. In conclusion, the case study performed at the Chatham Orthopedic Clinic is consistent with the research presented in the Archives of Emergency Medicine article. The Boxer fracture is a fairly common fracture, accounting for at least 20 percent of hand fractures, and is fairly easy to recover from. Chatham Orthopedic Clinic Patient Showed Statistical Signs of Boxer Fracture and Recovery Process to Date..