Clay matthews broken thumb diagnosed as a benn etts fracture injury can result in serious longterm issues for packers star packers linebacker clay matthews credit. In most cases, closed reduction and percutaneous pinning is indicated for bennett fractures. Most bennett and rolando fractures are unstable and require surgical intervention. Bennett fracture article about bennett fracture by the. The following 8 files are in this category, out of 8 total. A bennett fracture is a common injury that involves an intraarticular fracture at the base of the first metacarpal. Sports surgery bennetts fractures arthroscopy of the. Get a printable copy pdf file of the complete article 254k, or click on a page image below to browse page. The rolando fracture is a comminuted intraarticular fracture through the base of the first metacarpal bone the first bone forming the thumb. This comprehensive system contains plates for fractures of the metacarpal neck, fractures. In 1882, edward hallaran bennett, md, described the fracture of the base of the first metacarpal that bears his name.
Pdf fractures and dislocation of the base of the thumb metacarpal. As a service to our customers we are providing this early version of the manuscript. A jones fracture is a common type of metatarsal fracture and is the most severe type of fracture that can occur in this bone this fracture takes its name from the orthopedic surgeon, sir. This is a pdf file of an unedited manuscript that has been accepted for publication. This hand surgery is highly specialized, it derives from arthroscopic surgery for osteoarthritis of the base of the thumb rhizarthrosis. Get a printable copy pdf file of the complete article 254k, or click on a page image below to browse page by page. Goyal t conducted the study and compiled the report. It is the most common fracture to affect the thumb and is a serious injury. This type of compression along the metacarpal bone. Articular fractures of the base of the 1 st metacarpal, also known as bennett fractures, are relatively common finger fractures.
The width of this mentioned angle affects the localization of the fracture. The fracture is unstable, and with inadequate treatment. The form and severity of this fracture depends on the position of the hand at the moment of hitting the ground. Malunited bennett fracture with pain and disability is an indication for intraarticular osteotomy. Fracturesbroken bones data fractures, broken bonesyou can call it what you wish, it means the same thingare among the most common orthopedic problems, about 6.
It is defined as an intraarticular twopart fracture of the base of the first metacarpal bone. Open reduction is indicated when reduction cannot be achieved by closed means more common with rolando fracture. Essentially the three fragments of the fracture are. Le double embrochage intermetacarpien dans le traitement. Kjferpetersen from the university department of orthopaedic surgery, aarhus county hospital, denmark the relationship between methods of treatment, quality of reduction and the occurrence of late disability and osteoarthritic changes was studied in 17 rolandos fractures. Bennett s fractures are most commonly the result of a traumatic downwards force through the thumb. Bennetts fracture of the base of the metacarpal bone of the. Forces that impact the bent thumb cause this injury. Gedda pointed out that the prognosis for bennetts fracture depends to a great. Bennett fracture dislocation is an intraarticular fracture of the base of the first metacarpal with resultant dislocation of the first carpometacarpal joint. Because of the obliquity of the fracture line, the obliquity of the metacarpal hamate joint, and the pull of the extensor carpi ulnaris, this fracture dislocation tends to be unstable and to displace, much in the same fashion as the first metacarpal in a bennett. Bennetts fracture definition of bennetts fracture by. Fractures and dislocations university of cincinnati.
A bennett fracture is a fracture of the base of the thumb resulting from forced abduction of the first metacarpal. Tibfib fracture jones fracture bennett s fracture straddle fracture. Pdf 18 patients with bennetts fracture were evaluated after a mean followup period. Full text is available as a scanned copy of the original print version. The lower position of the fracture ensures that in almost all cases there is a degree of dislocation to the thumb. In the case of a bennetts fracture it is the proximal bone that fractures. Fractures of the distal radius with volar displacement and angulation of the distal fragment greenspan 1992 618p. These hand fractures compromise the function of the trapezometacarpal joint, which is the main joint of the thumb. Clay matthews broken thumb diagnosed as a bennetts fracture. Potts fracture, also known as potts syndrome i and dupuytren fracture, is an archaic term loosely applied to a variety of bimalleolar ankle fractures. The bennetts fracture is caused by a falling or any types of trauma affecting the patients hand and specifically the thumb joint.
This is an oblique fracture of the base of the first metacarpal the thumb with associated subluxation and fracture of the carpometacarpal articular surfaces. The acumed hand fracture system is designed to provide both standard and fracture specific fixation for metacarpal and phalangeal fractures, as well as fixation for fusions and osteotomies. Bennetts fracture associated with fracture of trapezium a rare. The treatment of the fracture described by bennett in. Bennetts fracture fracture of the base of the thumb. Injuries to the thumb are predominated by fractures of the proximal phalanx, ligamentous injuries about the.
Arthroscopic assisted percutaneous screw fixation of bennetts fracture. A bennetts fracture is the term for a fracture and dislocation of the base of the thumb, specifically the joint where the first metacarpal bone meets the carpal bones of the wrist called the carpometacarpal. A bennetts fracture is a fracture plus dislocation of the metacarpal bone at the base of the thumb. The bennett fracture is an oblique intraarticular metacarpal fracture dislocation, caused by an axial force directed against the partially flexed metacarpal. Please help to establish notability by citing reliable secondary sources that are independent of the topic and provide. The fracture is unstable, and with inadequate treatment leads to osteoarthritis, weakness andor loss of function of the first carpometacarpal joint. Fractures of the 1st metacarpal base at the base of the thumb can damage the joint and lead to arthritis, weakness, and chronic pain. When this injury occurs, the abductor pollicis longus pulls the. Type i bennett s fracture fracture dislocation of the base of the metacarpal intraarticular base fragment is aligned with trapezium, but distal portion is subluxed.
A bennetts fracture is an intraarticular fracture of the base of the first metacarpal arrow. Despite a relatively simple appearance on radiographs, bennett fractures are considered unstable in evaluating and treating these fractures positioning the patient with thumb. The full text of this article is available in pdf format. A simple fracture is one in which there is no contact of the broken bone with the outer air, i. Ten male manual laborers, average age 30 years range, 2044 ys with healed bennett fractures greater than 12 weeks from injury average 16, range 1218 ws underwent evaluation of range of motion, grip. Bennett fracture is a fracture of the base of the first metacarpal bone which extends into the carpometacarpal cmc joint. A bennett s fracture is a fracture plus dislocation of the metacarpal bone at the base of the thumb. The topic of this article may not meet wikipedia s notability guideline for standalone lists.
It is a relatively uncommon fracture but carries a worse prognosis than bennett s fracture. Le forts fracture of the ankle is a vertical fracture of the anteromedial part of the distal fibula with avulsion of the anterior tibiofibular ligament, opposite to a tillauxchaput avulsion fracture. Current management of metacarpal fractures hand clinics. However, rolandos fracture has come to be used to describe all comminuted thumb metacarpal base fractures. Key words bennett fracture, rolando fracture, thumb, trauma, ulnar collateral ligament injury. Smith fractures, also known as goyrand fractures in the french literature 3, are fractures of the distal radius with associated volar angulation of the distal fracture fragments. Fractures and related injuries matthew cham medical student university of rochester. Bennett described the anatomic details of the fracture and suggested. Fracture classification intraarticular i bennett fx ii rolando fx extraarticular iiia transverse iiib oblique iv childrens physeal 3. The fracture dislocation at the base of the fifth metacarpal is analogous to bennett s fracture of the thumb fig. A bennetts fracture occurs when the metacarpal bone in the thumb breaks and dislocates at the base of the thumb.
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