Rolando fracture

Case contributed by A.Prof Frank Gaillard
X-ray

Intra-articular fracture/dislocation of the first metacarpal.

Case Discussion

A Rolando fracture is a comminuted intra-articular fracture-dislocation of the base of thumb (proximal end of 1st metacarpal). Simply put, it is a comminuted Bennett fracture. The mechanism is usually an axial blow to a partially flexed metacarpal, such as a fistfight. The fracture line is typically T or Y-shaped. The volar fragment remains attached to the carpometacarpal joint, while the main dorsal fragment subluxes or dislocates dorsally and radially due to the unopposed pull of abductor pollicis longus.

This is an unstable injury that requires surgical reduction and fixation. 

PlayAdd to Share

Case information

rID: 35855
Case created: 24th Apr 2015
Last edited: 27th Oct 2015
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.