So a boxerÕs fracture is the reference to when someone were to punch something and break their hand. With that scenario theyÕll break a bone in their hand. Fortunately a lot of times that bone can be treated without surgery but it does require care and treatment. The primary symptoms are pain and swelling, the inability to make a fist a lot of times. Sometimes theyÕll be some rotation in the finger, so when they try to make a fist, the fingers kind of spin on each other. Those scenarios are ones where we definitely want to see them sooner than later because we can correct that. So the bulk of the time with a boxers fracture we can treat that in the splint to start and when the swelling goes down, we place them in a cast and I think people heal really well from this injury. Usually the cast is less than a monthÕs time, and then a removable brace and most people can get back to life. So a lot of times theyÕll present initially to the emergency room or to a prompt care or urgent care facility because their hand is swollen. And then they X-rays will be taken and a lot of times theyÕll be sent to us at that point for definitive care. When you come to the office, you have to be prepared for a couple things. One is that potentially the fracture has moved and so sometimes we may have to manipulate that in the office. The other thing is casting. So a lot of times weÕll put someone in a cast so I think being prepared for the fact that you may go home with a cast and being able to let your work know or your school know etc., that this may change the next month or two for you. I think those things are very important to do before you get there.