Diferencia entre revisiones de «Bennett's fracture»

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==Background==
==Background==
*Fracture of the base of the 1st metacarpal (thumb) which extends ''into'' the CMC joint.  
*Fracture of the base of the 1st metacarpal (thumb) which extends ''into'' the CMC joint.  
*most common type of fracture of the thumb, and is nearly always accompanied by some degree of subluxation or dislocation of CMC
*Most common type of fracture of the thumb, and is nearly always accompanied by some degree of subluxation or dislocation of CMC


==Clinical Features==
==Clinical Features==
*Usually caused by axial force to thumb


==Differential Diagnosis==
==Differential Diagnosis==
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==Management==
==Management==
*Thumb spica splint if non-displaced


==See Also==
==See Also==
*[[Thumb Fracture]]
*[[Thumb Fracture]]
*[[Rolando's Fracture]]


==References==
==References==
 
*www.orthobullets.com
[[Category:Ortho]]
[[Category:Ortho]]

Revisión del 09:56 11 jun 2015

Background

  • Fracture of the base of the 1st metacarpal (thumb) which extends into the CMC joint.
  • Most common type of fracture of the thumb, and is nearly always accompanied by some degree of subluxation or dislocation of CMC

Clinical Features

  • Usually caused by axial force to thumb

Differential Diagnosis

Thumb fracture classification

  • Type I (Bennett's fracture)
    • Fracture-dislocation of the base of the metacarpal (intra-articular)
    • Base fragment is aligned with trapezium, but distal portion is subluxed by abductor pollicis longus
    • Most common type of thumb fracture; nearly always accompanied by some subluxation or dislocation of CMC
  • Type II (Rolando's fracture)
    • Comminuted version of a Bennett's fracture (intra-articular)
  • Type III
    • Extra-articular (transverse or oblique)
  • Type IV
    • Extra-articular pediatric fracture involving the proximal physis

Diagnosis

Bennett's fracture

Management

  • Thumb spica splint if non-displaced

See Also

References

  • www.orthobullets.com