The Rolando fracture is a type of
broken finger involving the
base of the thumb.
It is an
intra-articular fracture.
It was first described in 1910 by Silvio Rolando.
[Rolando S. Fracture de la base du premier metacarpien et principalement sur une variete` non encore e`crite. Presse Med 1910;33:303–4 ]n French
N, or n, is the fourteenth letter in the Latin alphabet, used in the modern English alphabet, the alphabets of other western European languages and others worldwide. Its name in English is ''en'' (pronounced ), plural ''ens''.
History
...
It is typically T- or Y-shaped.
Treatment
There are several proposed methods of treatment. The quality of reduction does not correlate with late symptoms and osteoarthritic changes. Despite this fact, the joint surface should be restored as close to its anatomical position as possible.
Some advocate fixation with Kirschner wires, or plate and screw constructions.
Another accepted treatment is an
external fixator accompanied by the tension band wiring technique.
Tension band wiring is a technique in which the bone fragments are transfixed by
Kirschner wire
Kirschner wires or K-wires or pins are sterilized, sharpened, smooth stainless steel pins. Introduced in 1909 by Martin Kirschner, the wires are now widely used in orthopedics and other types of medical and veterinary surgery. They come in diffe ...
s, which are then also used as an anchor for a loop of flexible wire. As the loop is tightened the bone fragments are compressed together.
Prognosis
The Rolando fracture is less common than the
Bennett's fracture, and is associated with a worse prognosis.
History
It was first described in 1910 by
Silvio Rolando.
[
]
See also
* Bennett's fracture
* Boxer's fracture
A boxer's fracture is the break of the 5th metacarpal bones of the hand near the knuckle. Occasionally it is used to refer to fractures of the 4th metacarpal as well. Symptoms include pain and a depressed knuckle.
Classically, it occurs after ...
* Gamekeeper's thumb
References
;Bibliography
*
Further reading
*
External links
{{Fractures , state=collapsed
Bone fractures
Injuries of wrist and hand