The Rolando fracture is a type of
broken finger involving the
base of the thumb.
It is an
intra-articular
A joint or articulation (or articular surface) is the connection made between bones, ossicles, or other hard structures in the body which link an animal's skeletal system into a functional whole.Saladin, Ken. Anatomy & Physiology. 7th ed. McGraw- ...
fracture
Fracture is the appearance of a crack or complete separation of an object or material into two or more pieces under the action of stress (mechanics), stress. The fracture of a solid usually occurs due to the development of certain displacemen ...
.
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] 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 wires, 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 fifth metacarpal bone of the hand near the knuckle. Occasionally, it is used to refer to fractures of the fourth metacarpal as well. Symptoms include pain and a depressed knuckle.
Classically, it occurs a ...
* Gamekeeper's thumb
References
;Bibliography
*
Further reading
*
External links
{{Fractures , state=collapsed
Bone fractures
Injuries of wrist and hand