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Orthopaedic Proceedings
Vol. 94-B, Issue SUPP_XXXVII | Pages 211 - 211
1 Sep 2012
Barlow D O'hagan E Sanathkumar S Gull A Balasundaram R
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Background

Boxer's fractures are the most common type of metacarpal fracture. It commonly occurs during fistfights or from punching a wall. Greer et al demonstrated that it is usually an intentional injury and these patients were at increased risk for recurrent injury (2). Further work suggested that patients with such injuries had higher features of antisocial, self- harm and impulsive behavior, compared with control groups (3).

There is little that has been reported on children and adolescents who present with such fractures.

This study aims to assess aggression scores in young patients with metacarpal fractures due to punching using a validated questionnaire.

Methodology

Following ethical permission, 11–18 year olds, with a boxers fracture and willing to complete an anonymous questionnaire were included. If they were under 16, parental permission was sought. The Buss and Warren validated questionnaire included subscales of physical aggression and anger scales as well as overall aggression scoring.