Boxer Fracture Splint Immobilizer for 4th and 5th Metacarpal

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This splint for treatment for boxer’s fracture is an improvement over the ulnar gutter splint and the Galveston splint that are typically used to treat such injuries in terms of medical billing, fit and application. The boxer fracture splint protects and immobilizes the fourth and fifth metacarpal, giving them a chance to heal.

L Code: L-3809
Detailed Description

Boxer Fracture Splint for Broken Pinky

Orthopedic surgeon Douglas Goumas, MD, designed this metacarpal immobilizer because he felt there was a need for a “versatile lightweight metacarpal fracture brace.” He says patients would show up at his office after being treated for a boxer’s fracture with an ulnar gutter splint that fit poorly or was falling apart and thus failing to keep the metacarpal (MCP) joint at a 90-degree angle. Goumas also noted the lack of off-the-shelf products and the fact that Galveston splints don’t have an L-code for medical insurance building. Read more from Goumas. (NFThis metacarpal hand splint addresses those shortfalls. The short hand cast has a lightweight low-density polyethylene shell that immobilizes the fourth and fifth finger in extension with the MCP joint at 90 degrees. This limits stiffness in the joint as it heals. Not to mention, it is more comfortable than a heavy cast. For more options, check out our full line of hand braces and splints.

The three closures of the short hand cast means its fit can be adjusted to fluctuations in swelling, contrary to a cast. And application is much simpler and quicker. Applying this short hand splint takes about a minute, versus 10 minutes for an ulnar gutter splint. And while it is tough to mess up the closure of a few straps, an ulnar gutter cast is one of the hardest ones to roll.

Another advantage of this splint for boxers fractures is that it can be billed under insurance under the L-code L3807. With most ulnar gutter immobilizers, this is not the case.

The hand immobilizer also has a number of user-comfort features, such as a soft foam liner and palmar pad. The metacarpal fracture immobilizer also comes in a number of sizes for an optimal fit. Additional tweaks can be made via a heat gun.

This boxer hand splint was specifically designed by a doctor focused on finding a better solution for treating acute or sub-acute injuries to the fourth and fifth fingers—specifically boxer’s fracture (AKA, brawler’s fracture). A splint for soft tissue fractures of the 4th and 5th metacarpals (pinky finger or ring finger) is one of the most difficult casts to roll, not to mention changes in swelling can result in a poor fit. Alternative Galveston splints do not have an L-code, so they cannot be billed. The doctor developed this boxer hand splint to address these shortfalls. This versatile ulnar hand splint can be used in the ER to treat acute fractures, saving time and hassle versus the application of an ulnar gutter splint. It takes about a minute to apply versus 10 minutes to apply a cast. It holds the metacarpal joint at a 90-degree angle to prevent stiffness in the joint. This boxers hand splint is lightweight thanks to its low-density polyethylene shell. The brawler’s splint also has a soft foam liner and a palmar pad for user comfort. The immobilizer for the hand is anatomically contoured, and there are multiple closure straps for a customized fit. This boxer's fracture splint can also be customized via a heat gun, which means it may be able to be billed as a custom orthotic. In addition, this enables a surgeon to make cuts to the splint for added mobility as treatment progresses without compromising the brace’s ability to immobilize the fractured area.

Treatment for Boxer’s Fracture

This short ulnar gutter splint is meant to treat acute or sub-acute fractures of the fourth or fifth metacarpal. Such injuries to the base of the fingers are traditionally sustained by punching someone or something with a fist, although such breaks can also occur with other activities. Learn more about products for thumb and finger injury treatment.

Fractures to these bones can cause additional damage to soft tissues in the vicinity if one continues to use the hands post-break. Therefore, prompt immobilization of the injured hand is important. Other initial steps include managing the pain and swelling via ice, anti-inflammatory pain medication and elevation of the hand above the heart. Learn more about the traditional RICE method of treatment.

A doctor may recommend surgery to repair the damage, depending upon the amount of angulation of (misalignment) of the metacarpal(s). In either case, one will likely need to immobilize the hand with a metacarpal hand brace like this one for a period to prevent further damage, minimize pain and to allow healing to take place.

4th & 5th Metacarpal Immobilizer for Hand & Fingers

This immobilizer for the hand is a good option for treating fractures to the fourth and fifth metacarpal for a number of reasons. They include the following

  • Provides support, protection and immobilization for the fourth and fifth metacarpal
  • Anatomical design
  • Comfortable fit
  • Low-density polyethylene shell
  • Lightweight
  • Soft foam liner
  • Palmer pad
  • Multiple closure straps
  • Billable under insurance L-colde L-3807
  • Fit can be adjusted with a heat gun
  • Discreet white color
  • Holds MCP joint at 90 degrees
  • Leaves wrist free for movement
  • Available in four sizes based on wrist circumference and the circumference around your fourth and fifth metacarpal (pinky & ring fingers).
    • Small: wrist circumference 4” to 5”, MCP, 2 ¾” to 3 ¼”
    • Medium: wrist circumference 5” to 6”, MCP, 3 ¼ to 3 ¾”
    • Large: wrist circumference 6” to 7”, MCP, 3 ¾” to 4 ¼
    • Extra-large: wrist circumference 7” to 8”, MCP 4 ¼” to 4 ¾”

Sizing Chart

SizeWrist Circumference4th & 5th MCP Circumference
S4"-5"2 3/4" - 3 1/4"
M5"-6"3 1/4" - 3 3/4"
L6"-7"3 3/4" - 4 1/4"
XL7"-8"4 1/4" - 4 3/4"
Measure the circumference around your wrist. Then measure the circumference around your 4th & 5th MCP joints, by holding your pinky and ring finger together and measuring around the base of the fingers

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Boxer Fracture Splint Immobilizer for 4th and 5th Metacarpal

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