Here's a diagram of the bones in a hand.
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The fracture is usually caused by punching something harder than the hand, such as a wall or another being's head. The end of the metacarpal bone takes the brunt of the impact, which usually breaks through the narrowest area near the end (the "neck"), and bends down toward the palm.
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I already have a surgery procedure scheduled in a couple of days in a rebel medical center. Maybe I can talk them into permentently graft a vibro knuckler onto my right hand....? Anyways, I guess I'll be out of the action for a while.
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