PA radiograph of the thumb demonstrates an intra-articular fracture of the base of the metacarpal with mild displacement.
Facts: Rolando Fracture
- Originally described by Dr. Rolando as Y-shaped intraarticular fracture that extends to the carpometacarpal joint surface
- Now, the eponym is widely used for any comminuted intraarticular fracture at the base of the thumb
- Secondary to axial loading crusing the articular surface of the first metacarpal
- Usually require operative reduction because of high association with post-traumatic arthritis if incongruity present at the articular surface
Reference:
Peterson JJ, Bancroft LW. Injuries of the fingers and thumb in the athlete. Clin Sports Med 2006; 25:527-542.
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