<s>[INST] I punched a bar stool 3 weeks ago whilst watching a World Cup game... My team lost. My hand was swollen along the side of my little finger and swollen on top if my hand. I can make a fist without too much pain, but there is still a lump kind of on top of my hand above the little finger. It s also pretty tender to touch under my little finger knuckle. [/INST] Hello,Thank you for contacting me at "Ask a Doctor". I will try to answer your question to the best of my ability.Your symptoms are very suggestive for a fifth metacarpal fracture and I would suggest obtaining an x-ray as soon as possible.I hope this information is useful for you. Please do not hesitate to message us back if you have any further questions.Best wishes,Adrian Rawlinson MD </s>