Medicine:Rolando fracture
| Rolando fracture | |
|---|---|
 | |
| Complete break at base of thumb | |
| Specialty | Hand surgery |
The Rolando fracture is a type of broken finger involving the base of the thumb.[1]According to the Metacalamity classification, it is categorized as "I2".[2]
It is an intra-articular fracture.[3]
It was first described in 1910 by Silvio Rolando.[4] It is typically T- or Y-shaped.[5]
Treatment
Some advocate fixation with Kirschner wires, or plate and screw constructions. Another accepted treatment is an external fixator accompanied by the tension band wiring technique.[6]
Tension band wiring is a technique in which the bone fragments are transfixed by Kirschner wires, which are then also used as an anchor for a loop of flexible wire. As the loop is tightened the bone fragments are compressed together.[citation needed]
Prognosis
The Rolando fracture is less common than the Bennett's fracture, and is associated with a worse prognosis.[citation needed]
History
It was first described in 1910 by Silvio Rolando.[4]
See also
- Bennett's fracture
- Boxer's fracture
- Gamekeeper's thumb
References
- ↑ White, Timothy O.; Mackenzie, Samuel P.; Gray, Alasdair J. (2016). "13. Hand" (in en). McRae's Orthopaedic Trauma and Emergency Fracture Management (3rd ed.). Elsevier. pp. 275–277. ISBN 978-0-7020-5728-1. https://books.google.com/books?id=3JvmCgAAQBAJ&q=mcrae's+orthopaedic.
- ↑ Kunc, Vojtech; Adamcova, Viktorie (2026-03-21). "Metacalamity classification for first metacarpal base fracture". Minerva Orthopedics 76 (6). doi:10.23736/S2784-8469.26.04642-0. https://www.minervamedica.it/index2.php?show=R14Y2025N06A0442.
- ↑ "Wheeless' Textbook of Orthopaedics". https://www.wheelessonline.com/ortho/rolandos_fracture.
- ↑ 4.0 4.1 Rolando S. Fracture de la base du premier metacarpien et principalement sur une variete` non encore e`crite. Presse Med 1910;33:303–4 [in French].
- ↑ Feletti, Francesco; Varacallo, Matthew (2022). "Rolando Fractures". StatPearls (StatPearls Publishing). PMID 31194364. https://www.ncbi.nlm.nih.gov/books/NBK542207/.
- ↑ Howard, FM (Jul 1987). "Fractures of the basal joint of the thumb.". Clinical Orthopaedics and Related Research 220 (220): 46–51. doi:10.1097/00003086-198707000-00007. PMID 3595009.
- Bibliography
- "64". Campbell's operative orthopaedics. 4 (11th ed.). Philadelphia, PA: Mosby/Elsevier. 2008. pp. 3927–3931. ISBN 978-0-323-03329-9.
Further reading
- Edmunds, JO (Aug 2006). "Traumatic dislocations and instability of the trapeziometacarpal joint of the thumb.". Hand Clinics 22 (3): 365–92. doi:10.1016/j.hcl.2006.05.001. PMID 16843802. Archived from the original on 2011-07-17. https://web.archive.org/web/20110717111918/http://www.tulaneorthopaedics.com/Downloads/OllieEdmundsPublishesBookChapter.pdf.
External links
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