Name of the Condition

• Nondisplaced fracture of the base of the fifth metacarpal bone, left hand, initial encounter for closed fracture
• Commonly referred to as a "boxer's fracture" specifically affecting the left hand when it does not shift out of alignment.

Summary

• This condition involves a small break or crack in the base of the fifth metacarpal, the bone in your hand that connects to the little finger. A "nondisplaced" fracture means the bone is cracked, but the pieces remain in correct alignment. It typically results from a direct impact or trauma to the hand.

Causes

• Typically caused by punching a hard object or falling on an outstretched hand. High-impact sports and accidents are common causes.

Risk Factors

• Participation in contact sports or activities with a risk of hand trauma.
• Inadequate hand protection during sports or activities.
• Reduced bone density can slightly increase vulnerability to fractures.

Symptoms

• Pain and tenderness at the base of the fifth metacarpal bone.
• Swelling and bruising around the affected area.
• Difficulty or pain when moving the little finger.

Diagnosis

• Physical examination by a healthcare provider.
• X-ray imaging to confirm the fracture and ensure proper alignment of the bone fragments.

Treatment Options

• Immobilization with a splint or cast: To keep the bones in place while they heal.
• Pain management: Using over-the-counter pain relievers such as acetaminophen or NSAIDs.
• Rest and elevation: To reduce swelling and aid recovery.

• Physical therapy: After initial healing, to restore strength and mobility in the hand.

  Prognosis and Follow-Up

• Most patients recover fully with proper treatment and adherence to medical advice. Follow-up visits ensure the bone is healing correctly.
• Regular check-ups may include additional X-rays to monitor healing progress.

Complications

• Delayed healing or improper alignment if left untreated, which may require surgical intervention.
• Persistent stiffness or reduced range of motion in the affected finger.

Lifestyle & Prevention

• Use protective gear like padded gloves when engaging in activities with a high risk of hand injuries.
• Engage in exercises to strengthen hand muscles and improve dexterity.
• Avoid situations that involve punching hard objects without protection.

When to Seek Professional Help

• If you experience severe pain, significant swelling, or an inability to move the finger.
• If symptoms do not improve or worsen despite initial treatment.

Additional Resources

• American Society for Surgery of the Hand: ASSH.org
• National Institute of Arthritis and Musculoskeletal and Skin Diseases: NIAMS

Tips for Medical Coders

• Ensure accurate coding by noting whether the fracture is displaced or nondisplaced, open or closed.
• Common error: Confusing initial encounter (A) with subsequent encounter (D) in documentation. Ensure that documentation specifies it is an initial encounter.