Hand Fractures
A 32-year-old male martial arts enthusiast punches a wall in anger and presents with severe thumb pain, swelling, and inability to grip. On examination, there is tenderness and deformity at the base of the thumb metacarpal. He has intact sensation and capillary refill. Radiographs reveal a comminuted intra-articular fracture at the base of the first metacarpal with a characteristic Y-shaped or T-shaped pattern involving the carpometacarpal joint. Regarding Rolando's fractures of the thumb metacarpal base:
Mark each as TRUE or FALSE
Rolando's fracture is a comminuted intra-articular fracture of the base of the first metacarpal clas...
The anatomy of the thumb CMC (trapeziometacarpal) joint is a saddle-shaped (biconcave-convex) articu...
Rolando's fractures can be reliably treated with closed reduction and casting alone due to the inher...
Treatment options for Rolando's fractures include closed reduction with percutaneous K-wire fixation...
The prognosis of Rolando's fractures is guarded compared to Bennett's fractures, with higher rates o...
Answer the questions to see explanations
Click T (True) or F (False) for each option