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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]
For Bennett fractures where there is more than 3 mm of displacement at the trapeziometacarpal joint, open reduction and internal fixation (ORIF) is typically recommended. Regardless of which approach is employed (nonsurgical, CRPP, or ORIF), immobilization in a cast or thumb spica splint is required for four to six weeks.
Open fracture, wound > 1 cm but < 10 cm in length [14] without extensive soft-tissue damage, flaps, avulsions IIIA: Open fracture with adequate soft tissue coverage of a fractured bone despite extensive soft tissue laceration or flaps, or high-energy trauma (gunshot and farm injuries) regardless of the size of the wound [14] [15] IIIB
Low energy injury (usually fall from standing height) is the usual cause of distal end radius fracture (66 to 77% of cases). High energy injuries accounts for 10% of wrist fractures. [5] About 57% to 66% of the fractures are extra-articular fractures, 9% to 16% are partial-articular fractures, and 25% to 35% are complete articular fractures.
The fracture may be preventable by using wrist guards during certain activities. [1] In those in whom the fracture remains well aligned a cast is generally sufficient. [2] If the fracture is displaced then surgery is generally recommended. [2] Healing may take up to six months. [1] It is the most commonly fractured carpal bone. [3]
An open fracture (or compound fracture) is a bone fracture where the broken bone breaks through the skin. [2] A bone fracture may be the result of high force impact or stress , or a minimal trauma injury as a result of certain medical conditions that weaken the bones, such as osteoporosis , osteopenia , bone cancer , or osteogenesis imperfecta ...
Gamekeeper's thumb and skier's thumb are two similar conditions, both of which involve insufficiency of the ulnar collateral ligament (UCL) of the thumb. The chief difference between these two conditions is that skier's thumb is generally considered to be an acute condition acquired after a fall or similar abduction injury to the metacarpophalangeal (MCP) joint of the thumb, whereas gamekeeper ...
The radial head fracture is usually managed by open reduction internal fixation under general anaesthesia: the area is opened surgically, the surgeon forces the bones back into their correct positions, and then fixes them in place using titanium pins and/ or plates; if the fracture is too comminuted (i.e., the bones have been crushed or fractured into many pieces) a radial head implant can be ...