What is the recommended duration of continuous splinting for Boxer's fracture?

What is the recommended duration of continuous splinting for Boxer's fracture?

• A. 3 to 4 weeks
• B. 1 to 2 weeks
• C. 6 to 8 weeks
• D. 12 weeks

Answer: (A)

Immobilization duration for a Boxer's fracture is about three to four weeks. This injury is a simple fracture of the neck of the fifth metacarpal, and brief, stable immobilization allows the bone to heal while minimizing the risk of joint stiffness. The standard approach uses a hand-based splint (often an ulnar gutter) with the MCP joints in flexion to keep the fracture aligned during healing. After about three weeks, the splint is removed and gradual range-of-motion exercises are started to restore mobility and prevent stiffness, followed by strengthening as tolerated. Shorter immobilization (1–2 weeks) risks incomplete healing and potential malunion. Longer immobilization (6–8 weeks or more) typically offers no additional benefit for uncomplicated fractures but increases stiffness and functional delay. In cases with significant angulation, instability, or intra-articular involvement, the plan may differ, but for most Boxer's fractures, three to four weeks is the standard duration.

Immobilization duration for a Boxer's fracture is about three to four weeks. This injury is a simple fracture of the neck of the fifth metacarpal, and brief, stable immobilization allows the bone to heal while minimizing the risk of joint stiffness. The standard approach uses a hand-based splint (often an ulnar gutter) with the MCP joints in flexion to keep the fracture aligned during healing. After about three weeks, the splint is removed and gradual range-of-motion exercises are started to restore mobility and prevent stiffness, followed by strengthening as tolerated.

Shorter immobilization (1–2 weeks) risks incomplete healing and potential malunion. Longer immobilization (6–8 weeks or more) typically offers no additional benefit for uncomplicated fractures but increases stiffness and functional delay. In cases with significant angulation, instability, or intra-articular involvement, the plan may differ, but for most Boxer's fractures, three to four weeks is the standard duration.