Purpose It's our understanding that punch induced fifth MC neck fractures are scrapper's neck fractures; the blow is struck with the wrist flexed. Boxer's neck fractures should be reserved for those involving the second or third MC in athletes who punch with the wrist in a neutral position. 1 Raby N. Berman L. de Lacey G. Accident and emergency radiology: a survival guide. 2nd ed. Elsevier Saunders, Edinburgh2005 Google Scholar , 2 Yochum T.R. Rowe L.J. Essentials of skeletal radiology. 3rd ed. Williams & Wilkins, Baltimore2004 Google Scholar To the authors dismay, many reports call the fifth MC neck fracture a boxer's neck fracture. We aim to clarify the extent of the misunderstanding and be the first to formally present the use of social media to answer a focused clinical question. Methods and materials There is a large community of radiologists and allied health professionals using social media for free online access to medical education in radiology. 3 Pathiraja F. Little D. Social media: the next frontier in radiology. Clinical Radiology. 2015; 70: 585-587 Abstract Full Text Full Text PDF PubMed Scopus (14) Google Scholar An X-ray of a fifth MC neck fracture was posted on Twitter, Instagram, Google and Figure 1, asking for responses with the fracture name. Results We received 96 responses within 24 hours, from 24 countries, with 26 radiologists, 19 radiographers and 22 doctors from other specialties, the remaining were allied health professionals. Of these, 83% stated boxer's neck fracture, only 15% stated scrappers/bar room/street fighters neck fracture, with no link to country or profession. Two responses stated fifth MC neck fracture. Conclusion There is a statistically significant (p = 0.0001) misconception/misnomer both in the UK and internationally that a punch induced fifth MC neck fracture is named a boxer's neck fracture. Social media can be a useful vehicle to answer clinical questions. It's our understanding that punch induced fifth MC neck fractures are scrapper's neck fractures; the blow is struck with the wrist flexed. Boxer's neck fractures should be reserved for those involving the second or third MC in athletes who punch with the wrist in a neutral position. 1 Raby N. Berman L. de Lacey G. Accident and emergency radiology: a survival guide. 2nd ed. Elsevier Saunders, Edinburgh2005 Google Scholar , 2 Yochum T.R. Rowe L.J. Essentials of skeletal radiology. 3rd ed. Williams & Wilkins, Baltimore2004 Google Scholar To the authors dismay, many reports call the fifth MC neck fracture a boxer's neck fracture. We aim to clarify the extent of the misunderstanding and be the first to formally present the use of social media to answer a focused clinical question. There is a large community of radiologists and allied health professionals using social media for free online access to medical education in radiology. 3 Pathiraja F. Little D. Social media: the next frontier in radiology. Clinical Radiology. 2015; 70: 585-587 Abstract Full Text Full Text PDF PubMed Scopus (14) Google Scholar An X-ray of a fifth MC neck fracture was posted on Twitter, Instagram, Google and Figure 1, asking for responses with the fracture name. We received 96 responses within 24 hours, from 24 countries, with 26 radiologists, 19 radiographers and 22 doctors from other specialties, the remaining were allied health professionals. Of these, 83% stated boxer's neck fracture, only 15% stated scrappers/bar room/street fighters neck fracture, with no link to country or profession. Two responses stated fifth MC neck fracture. There is a statistically significant (p = 0.0001) misconception/misnomer both in the UK and internationally that a punch induced fifth MC neck fracture is named a boxer's neck fracture.