Pseudo Bennett's fracture

Case contributed by Mohammad Taghi Niknejad
Diagnosis certain

Presentation

Hand trauma

Patient Data

Age: 20 years
Gender: Male
x-ray

Fracture of base of the first metacarpal bone with mild to moderate displacement and without intra-articular extension. 

Case Discussion

Pseudo Bennett's fracture (also called epibasal fracture of the thumb) are two-piece fractures of the proximal first metacarpal bone which is usually stable and often do not require surgery. It is important to distinguish them from intra-articular fractures (e.g. Bennett's fracture dislocation or Rolando fracture), which are usually unstable and require surgery. 

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