Your treatment depends on how severe the fracture is. Initial treatment might include:
- Washing any cuts in the skin
- Getting a tetanus shot if you have a cut and haven’t had a shot for several years
- Resting your hand for a few days
- Keeping your hand above the level of your heart for a few days
- Icing your injury several times a day
- Taking pain medicine (prescription or over-the-counter)
- Wearing a splint for several weeks
Before your healthcare provider
puts your hand into a splint, he or she may need to put your bones back into alignment.
Usually, you’ll receive a local anesthetic to keep you from feeling any pain, and your
provider will move the bones back into place. In some cases, you may need surgery to get
the bones back into alignment.
You also may need to work with a physical therapist for a while as your fracture heals. You’ll learn exercises to strengthen the muscles of your hand and keep them from getting stiff.
If you have an unusually severe
boxer’s fracture, you may need immediate and more complicated surgery. For example, if
your bone has broken through the skin, or if it has broken in several places, you will
probably need surgery. You might also need surgery if you have a job or hobby that
needs a lot of fine-motor movement of the hand, like playing the piano.
Even if you don’t need surgery right away, you might need it at some point. If your hand doesn’t heal as well as expected, surgery might be an option.