![]() Requires surgical repair but can be splinted in the ED with a thumb spica splint.Rolando Fracture: This is a communited intraarticular fracture at the base of the first metacarpal that typically has a T or Y shaped configuration with 3 fragments. Most of these fractures will require surgical repair but can be treated in the ED with a Thumb Spica Splint.A common mechanism is when a person punches a wall or hard object with their thumb take the brunt of the force. This fracture is typically caused by axial loading the thumb while the metacarpal is partially flexed.Traumatic Finger Injuries: What the Orthopedic Surgeon Wants to Know. Base of Thumb metacarpal fractures can be extra-articular fractures, Bennett fractures (partial intra-articular), or Rolando fractures (complete intra-articular). This results from movement or displacement of the. First Metacarpal Base Fractures References: Wieschhoff GG, Sheehan SE, Wortman JR, Dyer GS, Sodickson AD, Patel KI, et al. Traumatic Finger Injuries: What the Orthopedic Surgeon Wants to Know. There may also be an obvious lump or deformity where the bone is broken. First Metacarpal Base Fractures References: Wieschhoff GG, Sheehan SE, Wortman JR, Dyer GS, Sodickson AD, Patel KI, et al. When you look at the hand it is usually very swollen and bruised. This will be somewhere between the knuckle and the wrist. This is the most common fracture of the thumb. Metacarpal fractures are a common injury in older children and adolescents, particularly the little and ring fingers. Immediate and intense pain is felt at the site of the fracture when a metacarpal bone is broken.They are:īennett Fracture: This is an intraarticular fracture at the base of the 1st metacarpal that always involves some degree of subluxation or dislocation of the 1st carpometacarpal joint. There are two types of fractures that commonly occur at the base of the 1st metacarpal. ![]()
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