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The Rolando fracture is a type of broken finger involving the base of the thumb. [1] It is an intra-articular fracture. [2] It was first described in 1910 by Silvio Rolando. [3] It is typically T- or Y-shaped. [4]
Most gamekeeper's thumb partial injuries are treated by simply immobilizing the joint in a thumb spica splint or a modified wrist splint and allowing the ligament to heal. However, near total or total tears of the UCL may require surgery to achieve a satisfactory repair, especially if accompanied by a Stener lesion. [6]
Fractures in the joints are often caused by jammed finger injuries, the hand equivalent of a stubbed toe. If a tendon pulls away the bit of bone to which it is attached (an avulsion fracture, shown in the image at the top of the page, and in the Busch fracture images below), that will also lead to a fracture in a joint. [1]
When a bone fractures, the fragments lose their alignment in the form of displacement or angulation. For the fractured bone to heal without any deformity the bony fragments must be re-aligned to their normal anatomical position. Orthopedic surgery attempts to recreate the normal anatomy of the fractured bone by reduction of the displacement.
Bennett fracture is a type of partial broken finger involving the base of the thumb, and extends into the carpometacarpal (CMC) joint. [ 1 ] Treatment typically requires surgery.
Surgery involves excising the tissue or removing parts of the bone compressing the nerve. [citation needed] Many tendon transfers have been shown to restore opposition to the thumb and provide thumb and finger flexion. In order to have optimal results the individual needs to follow the following principles of tendon transfer: normal tissue ...
The tip of the ulna may also be broken. [4] Treatment may include casting or surgery. [3] Surgical reduction and casting is possible in the majority of cases in people over the age of 50. [5] Pain management can be achieved during the reduction with procedural sedation and analgesia or a hematoma block. [5] A year or two may be required for ...
Healing of the fracture with a non-anatomic deformity (frequently, a volar flexed "humpback") can also lead to post-traumatic arthritis. Non-unions can result in loss of blood supply to the proximal pole, which can result in avascular necrosis of the proximal segment. Scaphoid fractures may be difficult to diagnose via plain x-ray.