Epibasal thumb fracture

Case contributed by Mohammad Osama Hussein Yonso
Diagnosis certain

Presentation

Pain and swelling of the right hand after fall 2 hours prior. Right hand shows mild swelling, hotness, and tenderness over the base of the right thumb on clinical examination.

Patient Data

Age: 35 years
Gender: Male
x-ray

Fracture in the base of the first right metacarpal without intraarticular extension.

Mild to moderate displacement. 

Case Discussion

Fracture in the base of the first metacarpal without intraarticular extension(pseudo-Bennett fracture).

The most common pattern of thumb fractures is extraarticular epibasal fracture.

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