Musculoskeletal Injuries 323303.A 23-year-old man presents to the ED complaining of left hand pain.
He states that he was mad at a friend and punched the wall in his bedroom.
Immediately after he punched the wall, he felt intense pain in his left hand.
On physical examination, you note swelling and tenderness over the fifth
metacarpal. When you ask him to make a fist, his fifth finger rotates to lie
on top of his fourth finger. The radiograph is shown in below. What is the
name of this type of fracture?
a. Colles fracture
b. Smith fracture
c. Scaphoid fracture
d. Galeazzi fracture
e. Boxer’s fracture
(Reproduced, with permission, from Knoop KJ, Stack LB, Storrow AB.Atlas of Emergency
Medicine. New York, NY: McGraw-Hill, 2002: 305.)