ACR Appropriateness Criteria acute hand and wrist trauma radiographs fracture
The main visible abnormality is at the distal fifth metacarpal, near the little-finger knuckle: there is deformity/irregularity consistent with a fifth-metacarpal neck fracture (often called a boxer’s fracture), with some displacement/angulation. It may be an old/healing fracture, but a single AP image cannot reliably determine its age or full alignment.
I do not see an obvious dislocation or another clear acute fracture on this view. Mild joint wear changes may be present in some finger joints.
This is not a formal radiology report. If this followed a recent injury, there is pain, swelling, numbness, reduced finger movement, or knuckle deformity, obtain prompt in-person assessment with dedicated hand views, including lateral/oblique images.
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