Bennett fracture

Case contributed by Mohammad Osama Hussein Yonso
Diagnosis certain

Presentation

Right hand pain after work related injury. On examination: abrasion and tenderness on the right hand more clearly over the 1st & 2nd metacarpal bones.

Patient Data

Age: 25 years
Gender: Male
x-ray

1st right metacarpal base fracture is noted with intra-articular extension 

Annotated zoomed view

x-ray

1st right metacarpal base fracture is noted with intra-articular extension (arrow)

Case Discussion

A Bennett fracture is a fracture of the articular surface in the base of first metacarpal bone and is considered as an unstable fracture. It is important to distinguish it from a Rolando fracture and a pseudo-Bennett fracture. 

Fractures that extend into the adjacent joint often lead in the future to degeneration of that joint, especially if not treated properly and early.

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