It has also been described as a t or is in the form of the first basis metacarpal fracture.
The symptoms are similar to the breakdown of Bennett.
The diagnosis is by x-ray of the thumb.
Thetreatment of this fracture is difficult. As the joint surface is involved in the restoration of memory exact joint fracture is therefore of vital importance.
Treatment methods include
traction (to align the fractured fragments) followed by internal fixation of fixation (after traction external framework is applied to contain the fragments) applicationexternal plaster with plate and screws (surgical incision is given and the fracture is reduced under direct vision) deliberate negligence (plaster is applied until the swelling and pain fade after active use of the hand is encouraged)Internal fixation should only be undertaken by an experienced surgeon hand.
Wilful negligence should only be undertaken when there is no hope of proper alignment of the fracture, (four to five of bone fragments) even with internal fixation.
The fracture meets usually in three or four weeks, after which the active physical therapy is started.
Will return to the proper function of my thumb after this fracture?
Adequate function following the fracture depends on number of fracture fragments (more poor fragments function) adequate restoration of alignmentpresence joint of pre-existing joint osteoarthritis
The joint involved in this fracture is a common site of osteoarthritis and the presence of osteoarthritis, can translate into future functional bad.
I hope that the information provided was useful. If you have any query you can ask me to contact me page.
This page was last updated February 6, 2009.
Other causes of the pain of hand...Dupuytren's Contracture
Compartment syndrome
Hand Infection
Bennett Fracture
Hand injury
Return of Rolando Fracture hand pain
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