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Hand & Upper Limb
intermediate
X-Type

Thumb Base Fractures - Bennett, Rolando, and UCL Injuries

Thumb Injuries

A 28-year-old male punches a wall with a closed fist and presents with pain and swelling at the base of his thumb. Radiographs reveal a fracture of the base of the thumb metacarpal with a small triangular volar-ulnar fragment remaining in articulation with the trapezium, while the metacarpal shaft is subluxated proximally and radially. Regarding Bennett fracture-dislocation:

Mark each as TRUE or FALSE

A

Bennett fracture is an intra-articular fracture-dislocation of the thumb carpometacarpal joint; the ...

B

The mechanism is typically axial loading along the thumb metacarpal with the joint in partial flexio...

C

All Bennett fractures can be successfully treated with closed reduction and thumb spica casting; sur...

D

Surgical indications include articular step-off greater than 1-2mm, subluxation that cannot be maint...

E

The thumb CMC joint is a biconcave-convex saddle joint with motion in flexion-extension, abduction-a...

Answer the questions to see explanations

Click T (True) or F (False) for each option