Bennett fracture

Case contributed by Dai Roberts
Diagnosis almost certain

Presentation

Fall off mountain bike. Tender thumb base. ?fracture

Patient Data

Age: 25 years
x-ray

Displaced 2 part intra-articular fracture of the 1st metacarpal base, with a smaller volar fragment and subluxation of the 1st CMCJ.  The fracture configuration is in keeping with a Bennett fracture. 

Case Discussion

A Bennett fracture is a 2 part 1st metacarpal fracture (thumb), whereas a Rolando fracture is a 3 part fracture.  A description of the fracture should accompany any classification, to prevent any misunderstanding.  

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