Pain or swelling along the 4th or 5th metacarpals
Volar angulation of metacarpal or "missing 4th/5th knuckle"
Look for areas of skin breakdown which may signify a fight bite that can result in a closed fist infection if untreated
Boxer's fracture
Non-thumb metacarpal fractures
Smith's fracture
Head
Colles' fracture
Neck
Barton's fracture
Shaft