In his article, three of the twelve patients had a Rolando fracture 3. In many cases, a hand fracture will heal well with. This includes: The small bones of the fingers (phalanges) The long bones within the palm (metacarpals) A broken hand can be caused by a fall, crush injury, or twisting injury, or through direct contact in sports. It is named after Silvio Rolando (Italian surgeon) who first described the fracture in a small case series of thumb metacarpal fractures in 1910. A hand fracture is a break in one of the bones in the hand. This is an unstable injury that requires surgical reduction and fixation. In Bennett fractures, fracture of the base of. The volar fragment remains attached to the carpometacarpal joint, while the main dorsal fragment subluxes/dislocates dorsally and radially due to the unopposed pull of the abductor pollicis longus muscle. first metacarpal fractures, The contribution of Rolando fractures is estimated to be between 7-21(6). The fracture line is typically T- or Y-shaped. If the fragments are numerous and small it is not advisable to attempt internal fixation, because of the risk of fragment devascularization and the technical difficulty of fixing tiny fragments. DESCRIPTION A 35-year-old man suffered a self-inflicted work injury from a circular saw on the dorsum of the thumb on his. The mechanism is usually an axial blow to a partially flexed metacarpal, such as a fistfight. The term Rolando’s fracture is often used to describe multifragmentary intraarticular fractures of the thumb metacarpal base. An Unusual Appearance of Base of First Metacarpal Fracture: A Case Report. It is most common in the 20 to 40 years age range 3. ICD 10 code for Other displaced fracture of base of first metacarpal bone, right hand, initial encounter for closed fracture. The vast majority of cases occur in men, with a male to female predominance of 10:1. Base of Thumb metacarpal fractures can be extra-articular fractures, Bennett fractures (partial intra-articular), or Rolando fractures (complete intra-articular).
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