i-Human Week 9 Case Study 2026: Comprehensive SOAP Note for an Adolescent Right-Hand Fifth Metacarpal (Boxer’s) Fracture

i-Human Week 9 Case Study 2026: Comprehensive
SOAP Note for an Adolescent Right-Hand Fifth
Metacarpal (Boxer’s) Fracture




i-Human Week 9 Case Study (2026)

Adolescent With Right-Hand Metacarpal Fracture

,Comprehensive SOAP Note & Evidence-Based Management

S – Subjective

Identifying Information



Patient: Adolescent male



Age: 15 years



Gender: Male



Source of History: Patient and parent (reliable)



Chief Complaint



“My right hand hurts and is swollen after I punched a wall.”



History of Present Illness (HPI)



The patient is a 15-year-old adolescent who presents with right-hand pain and swelling following an
injury that occurred approximately 6 hours prior to presentation. The patient reports punching a wall
during an episode of anger at school. He experienced immediate pain localized to the ulnar side of the
right hand, followed by progressive swelling and difficulty moving his fingers.



Pain is described as sharp and throbbing, rated 7/10, worsened with movement and gripping objects,
and minimally relieved by rest. He denies numbness, tingling, or loss of sensation. No open wounds
were noted at the time of injury.



The patient is right-hand dominant.



Associated Symptoms

, Swelling of the right hand



Decreased range of motion



Bruising over the dorsum of the hand



Denies



Fever or chills



Numbness or tingling



Wrist or elbow pain



Previous fractures to the hand



Past Medical History (PMH)



No chronic medical conditions



Past Surgical History (PSH)



None



Medications



None