How is Rolando fracture treated?
Treatment for a Rolando fracture The procedure involves realigning the bone fragments and then fixing them with internal wires or pins. In some cases, an external frame with pins is used. The joint is then immobilized for 4 to 6 weeks in a thumb spica cast, where the thumb is kept separate from the hand.
Can you play football with a Bennett’s fracture?
Bennett fractures are commonly seen as football injuries. If an NFL offensive lineman has a Bennett’s fracture in the non-dominant hand and is surgically treated, he may be able to return to competitive play in 4 weeks and play with a padded cast or splint in place.
What is a Bennett fracture?
Bennett fracture is the most common fracture involving the base of the thumb. This fracture refers to an intraarticular fracture that separates the palmar ulnar aspect of the first metacarpal base from the remaining first metacarpal.
What is the difference between Bennett and Rolando fracture?
A Bennett fracture is an intra-articular, simple, oblique fracture at the base of the first metacarpal (Figure 39.1). A Rolando fracture is an intra-articular, comminuted fracture at the base of the first metacarpal (Figure 39.2).
Why is it called a Rolando fracture?
It is named after Silvio Rolando (Italian surgeon) who first described the fracture in a small case series of thumb metacarpal fractures in 1910. In his article, three of the twelve patients had a Rolando fracture 3.
How do you get a Rolando fracture?
The term has come to mean all intra-articular thumb metacarpal base fractures with 3 or more segments, with highly comminuted fractures often placed in this category. Similar to all metacarpal base fractures, the Rolando fracture is often caused by an axial load crushing the articular surface.
Does a Bennett fracture require surgery?
Open reduction and internal fixation (ORIF) is the most common surgery to treat Bennett’s fracture. A small incision is made at the base of your thumb. Pins or screws are used to align the dislocated bones. Surgery is followed by rest and plaster cast immobilization for about 4 weeks.
How do you reduce Bennett’s fracture?
Closed reduction and thumb spica cast immobilization are effective in the treatment of Bennett fractures if the reduction can be maintained. The closed reduction technique consists of thumb traction combined with metacarpal extension, pronation, and abduction.
Why is it called a Bennett’s fracture?
The Bennett fracture is named after Edward Hallaran Bennett, Professor of Surgery (1837–1907) at Trinity College of the University of Dublin, who described it in 1882.
How does Bennett fracture occur?
A Bennett’s fracture occurs when the metacarpal bone in the thumb breaks and dislocates at the base of the thumb. Forces that impact the bent thumb cause this injury. Bennett’s fractures can result from any significant forces placed on the base of the thumb, such as sports, falls and accidents.
What’s the difference between a Rolando and Bennett fracture?
The difference between a Rolando fracture and a Bennett fracture is that with a Rolando fracture, the base of the metacarpal is fractured into 2 or 3 fragments. This is known as a T or Y shaped fracture because of its appearance. Treatment for a Rolando fracture Surgery is almost always required.
Is the thumb deformed in a Rolando fracture?
In more serious cases the thumb may appear deformed. A Rolando fracture is also a fracture to the base of the 1st metacarpal where it joins the carpal bones between the thumb and the wrist, although a little more complex to treat as the metacarpal is fractured into several pieces. What is Bennett’s fracture?
What causes a Bennett fracture in the thumb?
A Bennett fracture is an injury to the base of the thumb joint. It is usually caused by a hard impact or trauma such as punching something hard or falling onto your hand, with the thumb sticking out to the side. Symptoms will be similar to other wrist and hand fractures:
What is the treatment for a base of thumb fracture?
Treatment ranges from splint immobilization for certain extra-articular fractures to surgical fixation for displaced Bennett or Rolando fractures. adductor pollicis (Ulnar n.)