Boxer's fracture is a fracture of the neck of the fourth or fifth metacarpal, typically from striking with a clenched fist. Which fracture name matches this description?

• A. Colles fracture
• B. Hangman’s fracture
• C. Boxer’s fracture
• D. Smith fracture

Answer: (C)

Boxer's fracture refers to a fracture through the neck of the fourth or fifth metacarpal, classically caused by punching a hard object with a clenched fist. This mechanism concentrates force at the metacarpal neck, producing the characteristic fracture location. The other names describe different injuries: a Colles fracture is a distal radius fracture from a fall on an outstretched hand with a dinner fork deformity, a Hangman’s fracture involves the C2 vertebra from hyperextension, and a Smith fracture is a distal radius fracture with volar displacement from a fall on a flexed wrist. The description in the prompt aligns precisely with a Boxer fracture.