Impact of Malunion on Boxing: Can You Still Train with Deformed Bones?

Malunion

I previously asked you if a boxer can continue training after a fracture, and you said it was possible.
However, my right fifth metacarpal has healed in a slightly deformed manner, with a protruding bone on the back of my hand and it being shorter than my left hand.
Will this affect the strength of the bone? Can I still train in boxing? If I want to correct this, are there any options available?

456, 20~29 year old female. Ask Date: 2016/04/23

Dr. Shi Guozheng reply Orthopedics

Surgery is not necessary if the severity of the condition does not affect function and has already healed.

Reply Date: 2016/04/23

More Info

Malunion, which refers to the improper healing of a fractured bone, can significantly impact both the functionality and strength of the affected bone. In your case, the malunion of the fifth metacarpal (the bone in your hand) can lead to several complications, particularly in a physically demanding sport like boxing.
When a bone heals in a deformed position, it may not only alter the shape of the hand but also affect the alignment and distribution of forces during activities such as punching. This misalignment can lead to a decrease in the bone's strength, making it more susceptible to re-injury or further fractures. Additionally, the altered biomechanics can cause uneven stress on the surrounding muscles, tendons, and ligaments, potentially leading to pain or chronic injuries over time.

Training with a deformed bone is possible, but it comes with risks. If the malunion is significant, it may affect your ability to deliver punches effectively and could lead to compensatory movements that might increase the risk of injury to other parts of your body. It is crucial to listen to your body; if you experience pain or discomfort while training, it may be a sign that the malunion is affecting your performance or causing strain elsewhere.

If you are considering corrective options for your malunion, there are several approaches you might discuss with your orthopedic surgeon. Surgical intervention may be necessary to realign the bone properly. This could involve osteotomy (cutting the bone to correct its alignment) or fixation techniques to stabilize the bone in the correct position. However, surgery comes with its own risks and recovery time, so it is essential to weigh these factors carefully.

In the meantime, if you choose to continue training, consider modifying your training regimen to accommodate your current condition. Focus on techniques that minimize stress on the affected hand, and incorporate strength training for the surrounding muscles to help support the injured area. Additionally, using protective gear, such as hand wraps or gloves with extra padding, can help reduce the risk of further injury.

Ultimately, the decision to continue boxing or pursue corrective measures should be made in consultation with your healthcare provider. They can assess the extent of the malunion, discuss potential risks, and help you develop a plan that prioritizes your health while allowing you to pursue your passion for boxing. Remember, your long-term health and functionality should always come first.

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