Usage patterns
拳骨で殴るto hit someone with a fist
Father got angry and hit my brother with his fist.
〈人〉の頭に拳骨を落とすto bring one's fist down on someone's head (often as a scolding)
The teacher gave the student a knock on the head with his fist.
拳骨を食らうto get punched with a fist
I got a knuckle punch from my older brother after playing a prank.
拳骨を握るto clench one's fist
He clenched his fist tightly in anger.