We conducted a survey using social media (SoMe; Instagram, Figure 1, Google+ and Twitter) to ask healthcare professionals what they called this fracture (other than a 5th metacarpal fracture), what their profession was, and where they were based.
- 96 responses within 24 hours, from 23 countries, with 26 radiologists, 19 radiographers & 22 doctors from other specialties, the remaining were allied health professionals.
- 83% of respondents stated the fracture was a boxer’s fracture, with only 15% correctly stating scrapper's/bar room/street fighter's fracture, with no link to country or profession.
- A punch induced 5th metacarpal fracture is a "scrapper’s/bar room" fracture - the blow is struck with the wrist flexed with a ‘swinging’ action leading to a glancing blow and force transmitted through the distal 4th and 5th metacarpals.
- The description "boxer’s fracture" should be reserved for a fracture involving the 2nd/3rd MC in trained athletes who punch with the wrist in a neutral position.
- We are the first to present the use of SoMe to answer a focused clinical question, which showed there is a statistically significant (p=0.0001) misconception/misnomer both in the UK and internationally that a punch induced 5th metacarpal fracture is named a boxer’s fracture.
- SoMe can provide a quick and easy way to survey radiologists and health professionals of all grades from around the world – give it a go, get on board and join the FOAMRad movement!