Broken Boxer

[Senaqua Hildreth]

Aboxer's fracture is a break through the bones of the hand that form the knuckles. Some doctors use the term "brawler's fracture" rather than "boxer's fracture." Other names are metacarpal fracture, metacarpal neck fracture, hand fracture, boxing fracture, broken hand, and hand injuries.

A boxer's fracture is a break in a metacarpal bone that connects the ring finger or the little finger to the wrist. These are known as the fourth and fifth metacarpal bones. Some doctors also include breaks in the neck of the second and third metacarpal bones in the definition of a boxer's fracture. The second metacarpal bone connects the index finger to the wrist, and the third metacarpal connects the middle finger to the wrist.

A splint should immobilize the joints above and below the site of injury. In the case of a boxer's fracture, different types of splints may be used. One type of splint may extend from the fingers, with the fingertips exposed, to the forearm near the elbow. Another type that has been shown to be effective for some boxer's fractures of the little finger is to buddy-tape the ring finger and little finger together. Your doctor will decide what type of splint will treat your fracture the best.

Your doctor may ask you to follow-up with a bone specialist (orthopedic surgeon) or a hand specialist to ensure that the broken bone mends properly. The hand specialist may be either an orthopedic surgeon or a plastic surgeon who specializes in hand injuries.

The key to preventing boxer's fractures is to avoid situations in which the injury can happen.. Boxer's fractures happen most often during fist fights and when someone punches a hard object in anger or frustration.

With proper immobilization of the broken bones and good follow-up with a hand specialist, most people with a boxer's fracture have a good outcome. If you need surgery, you may have a longer period of recovery than someone who only needs splinting. Some will need physical therapy after the splint is removed because the muscles become weakened from not being used.

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Dr. Gregory Minnis is a physical therapist with an interest in orthopedic manual therapy. His work experience includes orthopedic physical therapy, sports medicine, neurological rehab, advanced assessment and treatment of running injuries, and advanced treatment of the pelvic complex, spine, and extremities.

Your treatment may also include surgery if the break is severe enough, if the broken bone protrudes from the skin, or if there are multiple fractures. Surgery is also used for people who use their hands for minute motor skills, such as playing the piano.

NEW YORK -- Turki Alalshikh, the chairman of Saudi Arabia's General Entertainment Authority, controls the biggest purse strings in boxing and said he plans to use that power to fix a sport he told ESPN is "broken."

The exclusive interview took place last month following the formal announcement of Alalshikh's first boxing event outside Saudi Arabia, a stacked card headlined by ESPN's No. 1 pound-for-pound boxer, Terence Crawford, challenging Israil Madrimov for the WBA junior middleweight title on Aug. 3 in Los Angeles. Alalshikh laid out his plans for boxing and detailed an upcoming slate of star-studded cards.

Crawford vs. Madrimov is presented by Riyadh Season -- an annual state-managed sports and entertainment festival that attracts sponsorships from some of the region's most prominent companies -- which kicks off in October in Saudi Arabia's capital. The title fight is poised to showcase the kingdom's commitment to the sort of promotion, pomp and circumstance Alalshikh believes has been largely missing from boxing.

"We carefully planned our activities for the last six months," Alalshikh said. "We are spending the money to [commercialize] our season and at the same time to test the market and know all the secrets about the market. And now we have a lot of information and we have our own studies and we think from what we tested in the last six months, there is big opportunity in boxing. ... But you must improve the market. You must fix all the problems."

Alalshikh has looked to restore that prestige with the sort of deep, competitive undercards that are commonplace in the UFC but rare in boxing. The Aug. 3 card might feature the deepest support of undercard fights in years.

Isaac "Pitbull" Cruz defends his WBA junior welterweight title vs. Jose Valenzuela in the co-feature while Tim Tszyu fights Vergil Ortiz Jr. in a slugfest between two of ESPN's top junior middleweights. A pair of former heavyweight champions are also slated to compete: Deontay Wilder vs. undefeated Jared Anderson along with Andy Ruiz's return vs. Jarrell Miller. Top talent David Morrell fights Radivoje Kalajdzic and two-time Olympic gold medalist Andy Cruz meets Antonio Moran.

"[Boxing] is broken, but I think we don't need to get everything back together," Alalshikh said. Indeed, boxing sat atop the global sports landscape for much of the 20th century. But with the best matchups being relegated to pay-per-view, the sport's lack of centralized governing body and the minimization of pugilism at the Olympics, the sport has waned in popularity since.

Saudi Arabia hosted the Anthony Joshua-Ruiz heavyweight title rematch in December 2019, the first major boxing event in the Kingdom, and also staged the Oleksandr Usyk-Joshua rematch in August 2022. That was before Alalshikh and the GEA entered the boxing space with the Tyson Fury-Francis Ngannou fight in October. Next came the December card topped by Joshua and Wilder in separate fights. The plan called for them to meet in a long-awaited clash in March, but Wilder dropped an upset decision to Joseph Parker.

Instead, Joshua went on to score a devastating second-round KO of former UFC heavyweight champion Ngannou last month in Riyadh. On May 18, Alalshikh will deliver his most-anticipated fight yet -- what he called the "crown jewel of his efforts" -- with the Fury-Usyk undisputed heavyweight championship fight in Riyadh.

Two weeks later in the same city, Artur Beterbiev and Dmitry Bivol were set to battle for the undisputed light heavyweight championship. However, Beterbiev suffered a ruptured meniscus that required surgery, which postponed the fight Friday. Alalshikh plans to reschedule the bout later this year. He already rescheduled Fury-Usyk for May 18 after Fury suffered a cut that postponed the bout from its original Feb. 17 date.

Both are coin-flip matchups that fans have clamored years for as they endured stop-and-start negotiations. All four boxers reside on ESPN's pound-for-pound list. While Alalshikh seeks a replacement opponent for Bivol on June 1, the series of five fights between Matchroom -- and Queensberry-promoted fighters remains intact for that same date. Wilder will meet Zhilei Zhang, two heavyweight punchers coming off losses to Parker, along with Filip Hrgovic-Daniel Dubois. Ray Ford defends his WBA featherweight title vs. Nick Ball in another fight.

Alalshikh told ESPN that he'll stage the Fury-Usyk rematch on Oct. 12 or 13 to kick off another Riyadh Season while he originally planned to match the winner of Beterbiev-Bivol vs. David Benavidez, who moves up to light heavyweight June 15 with a fight vs. Oleksandr Gvozdyk. Alalshikh said he would look to match the loser with either Morrell or cruiserweight champion Jai Opetaia, who defends his title vs. Mairis Briedis in a rematch on the Fury-Usyk undercard. But that was before Beterbiev-Bivol was postponed with a plan to reschedule for the end of this year.

Afterward, Alalshikh will travel to London's Wembley Stadium for an event headlined by Joshua on Sept. 20 or 21. The British star is expected to face the Hrgovic-Dubois winner for the vacant IBF title, another commercial for Riyadh Season with the Kingdom's first boxing event in the U.K.

The IBF ruled that Hrgovic's mandatory title shot as No. 1 contender is overdue, so with Fury and Usyk committed for an immediate rematch, the winner of the May 18 bout will be stripped ahead of Hrgovic-Dubois on June 1. That means only three of boxing's four recognized titles will be on the line for Fury-Usyk 2 in October.

One month later is the Fury-Usyk rematch. Alalshikh said it will happen no matter what transpires in the first meeting. Regardless of how the pair of fights play out, Alalshikh is targeting the long-awaited Fury-Joshua fight for the end of March since Usyk has already defeated Joshua twice. If Fury and Usyk split the two fights, the rubber match could take place later in 2025 after Fury-Joshua, he said.

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