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Medgeeks with Andrew Reid

Boxers fracture - why this would never happen to Mayweather

Medgeeks with Andrew Reid

Medgeeks

Education, Medicine, Health & Fitness

4.8997 Ratings

🗓️ 31 August 2017

⏱️ 13 minutes

🧾️ Download transcript

Summary

Today, you're going to learn the mechanism behind a boxers fracture, why this would never happen to Mr. Money Mayweather, and how to quickly make the diagnosis.

Lastly, we'll show you how to rapidly reduce your patient's boxer fracture (who needs ortho).

Nothing but high yield medicine.

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Transcript

Click on a timestamp to play from that location

0:00.0

What's up guys? I hope this podcast finds you all doing very well.

0:03.8

With the recent Connor McGregor and Floyd-May weather fight happening over the weekend,

0:08.0

I thought now would be an appropriate time to talk about Boxer's fractures.

0:11.4

So quickly, before we do, let's go over some anatomy of the hand.

0:15.0

The hand is made up of 27 boats. You have your phalanges, metacarpals, and carpal bones.

0:21.0

Your phalanges are comprised by 14 bones and are further broken down

0:25.6

into distal, middle, and proximal phalanges, except for the thumb which only has a distal and proximal

0:32.2

phalanges.

0:33.0

From there, you have your five metacarpals.

0:36.0

Both the metacarpals and the phalanges can be described by numbers one through five.

0:40.0

The first metacarpal refers to the thumb, the second index finger, third middle

0:46.0

finger, fourth ring finger, and fifth pinky finger. And then you have your eight

0:51.0

carpal bones. So now we know the basic anatomy of the hand,

0:54.2

but what is a boxers fracture?

0:56.7

A boxers fracture is a fracture of the fourth or fifth metacarpal neck.

1:00.9

I'll say that again.

1:02.2

A boxers fracture is a fracture through the fourth or fifth metacarpal

1:06.8

neck. They most commonly occur from direct trauma to a clenched fist. However, experienced boxers rarely sustain this type of injury. This is because

1:16.4

professional boxers do not typically punch in a roundhouse motion, whereas most of our amateur street fighters do.

1:24.0

So let's give a visual example.

1:26.0

If you clench your fist and then just throw a straight jab as most boxers do,

1:31.0

when you get to full elbow extension, you can see that all your knuckles line up.

...

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