Skip to main content
Log in

MACHO fracture: distal fifth metacarpal fracture revisited

  • Published:
Emergency Radiology Aims and scope Submit manuscript


Background: The term “boxer's fracture” has been used to describe fractures to the fifth metacarpal. In fact, boxers do not fracture their fifth metacarpal but their second or third metacarpals. Methods: We reviewed demographic data for 51 patients with boxer's fractures. Sex, age, hand involved, hand dominance, method of injury, ethanol intoxication, and presence of anger at the time of injury were evaluated. Results: Only 18 % of our cases involved a patient hitting another person. Fifty-one percent of the cases occurred when the patient intentionally struck a hard object. Thirty-one percent of fractures were accidental or due to crush injury. Of those injured from an intentional blow, nearly all of the patients were male. Patients were commonly angry at the time of injury. Conclusions: Based on the characteristics of our patients with these fractures, we believe a more appropriate name for this injury is the MACHO fracture (Men Angrily Cuffing Hard Objects).

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

Author information

Authors and Affiliations


Rights and permissions

Reprints and permissions

About this article

Cite this article

Brandser, E., Ellingson, B. MACHO fracture: distal fifth metacarpal fracture revisited. Emergency Radiology 7, 349–351 (2000).

Download citation

  • Issue Date:

  • DOI: