Bennett fracture dislocation

Case contributed by Nicola Zelow
Diagnosis certain

Presentation

Fall from pushbike. Right hand tenderness.

Patient Data

Age: 45 years
Gender: Male
x-ray

Mildly comminuted intra-articular fracture of the base of the right first metacarpal. The smaller fragment is articulated with the trapezium, with the larger fragment slightly laterally retracted, in keeping with a Bennett fracture dislocation.

Case Discussion

The patient went on to be treated operatively with two K-wires.

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