Most Boxer’s fractures do not require surgery. Boxer’s fractures are typically simple fractures of the metacarpal bone in the hand, usually involving the neck of the bone connecting to the pinky finger. The primary goal of treatment is to realign the fractured bone and provide stability to allow it to heal correctly. Non-surgical treatments are generally effective for most cases and may include:

• Closed Reduction: In many cases, the initial treatment involves a closed reduction, where a healthcare provider manipulates the fractured bone back into its proper position. This is typically performed under local anesthesia or after administering pain relief to the patient.
• Immobilization: After the closed reduction, the hand is typically immobilized using a cast, splint, or brace to keep the fractured bone in proper alignment while it heals. Immobilization usually lasts for several weeks, depending on the severity of the fracture and the individual’s response to treatment.
• Follow-up Care: Regular follow-up appointments with a healthcare provider are essential to monitor the healing process, make any necessary adjustments to the immobilization, and evaluate the progress.
• Rehabilitation: Physical or occupational therapy may be recommended to improve strength and range of motion once the fracture has healed. This is especially important for regaining function and preventing joint stiffness.

Surgery is usually reserved for more complex or severe Boxer’s fractures that involve multiple fractures, extensive displacement of the bone, or damage to surrounding tissues. In such cases, surgical intervention may be necessary to realign the bone fragments and provide fixation with pins, wires, plates, or screws to ensure proper healing.

Ultimately, the choice of treatment, whether surgical or non-surgical, depends on factors such as the severity and complexity of the fracture, the patient’s overall health, and the recommendations of the treating healthcare provider. It’s important to promptly seek medical evaluation and treatment if you suspect a Boxer’s fracture, as early intervention can contribute to a successful non-surgical outcome in the majority of cases.