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Boxer Fracture Splint for Broken PinkyOrthopedic surgeon Douglas Goumas, MD, designed this meta immobilizer because he felt there was a need for a “versatile lightweight meta fracture brace.” He says patients would show up at his office after being treated for a boxer's fracture with an ulnar gutter splint that fit poorly or was falling apart and thus failing to keep the meta (MCP) joint at a 90-degree angle. Goumas also noted the lack of off-the-shelf products and the fact that Galveston splints don't have an L-code for medical insurance building. Read more from Goumas. (NFhand braces and splints.The three closures of the short hand cast means its fit can be adjusted to fluctuations in swelling, contrary to a cast. And application is much simpler and quicker. Applying this short hand splint takes about a minute, versus 10 minutes for an ulnar gutter splint. And while it is tough to mess up the closure of a few straps, an ulnar gutter cast is one of the hardest ones to roll.Another advantage of this splint for boxers fractures is that it can be billed under insurance under the L-code L3807. With most ulnar gutter immobilizers, this is not the case.The hand immobilizer also has a number of user-comfort features, such as a soft foam liner and palmar pad. The meta fracture immobilizer also comes in a number of sizes for an optimal fit. Additional tweaks can be made via a heat .This boxer hand splint was specifically designed by a doctor focused on finding a better solution for treating acute or sub-acute injuries to the fourth and fifth fingers—specifically boxer's fracture (AKA, brawler's fracture). A splint for soft tissue fractures of the 4th and 5th metas (pinky finger or ring finger) is one of the most difficult casts to roll, not to mention changes in swelling can result in a poor fit. Alternative Galveston splints do not have an L-code, so they cannot be billed.