Acceptable angulation depends on the metacarpal, but clinical rotation must be absent.
This page explains how a metacarpal neck fracture (boxer’s fracture) is commonly managed, in plain language, based on Dr. Kee's typical approach to this injury.
Every fracture is different. Treatment varies based on the exact fracture pattern, displacement, age, whether surgery is needed, bone quality, other injuries, and how an individual heals. This page is general education, not your child's personal treatment plan — always follow the specific instructions given to you by Dr. Kee's office.
Acceptable angulation depends on the metacarpal, but clinical rotation must be absent.
Look at the finger cascade before accepting the X-ray.
This fracture is generally treated without surgery. Instead, it is protected in a cast, splint, or brace so the bone can heal in a good position on its own.
Ulnar-gutter splint or functional brace with MCP joints flexed, generally 3–4 weeks for a stable fracture.
Light use only; avoid punching, impact, and heavy grip.
For a full explanation of what these weight-bearing terms mean, see our Weight-Bearing Guide.
Keep IP joints moving; begin protected MCP motion when stable.
Hand therapy if stiffness or loss of function develops.
Recheck alignment and rotation in about 1 week.
Every fracture moves through the same general phases, though the exact timing is different for every patient:
School: Desk work early; manual labor after painless grip and healing.
Sports or High-Risk Activity: Usually 6–8 weeks; longer for contact sports.
Malrotation, open fight-bite wound, significant shortening, unstable reduction, intra-articular extension, or neurovascular deficit.
See our full When to Call page for the difference between routine office contact and emergency evaluation.
Ulnar-gutter splint or functional brace with MCP joints flexed, generally 3–4 weeks for a stable fracture.
Your surgeon will guide when it's safe to return to these activities based on how your specific fracture is healing. Follow the instructions given specifically to you.
Every fracture heals differently. If you have questions about your treatment plan, reach out to Dr. Kee's office.