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Surgical Fixation of Metacarpal Fractures
Metacarpal fractures account for as many as one third of all hand fractures. The prevalence of metacarpal fractures increases from the radial to the ulnar side of the hand, with fractures of the fifth metacarpal being the most common. Metacarpal neck fractures are the most common; these usually involve the ring and small metacarpals. Fifth metacarpal neck fractures are commonly referred to as boxer’s fractures. These fractures are rarely seen in professional boxers, however, occurring most often in amateur boxers who have hit solid objects or in street brawlers.