February 3, 2011

Rolando Fracture

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
Peterson JJ, Bancroft LW. Injuries of the fingers and thumb in the athlete. Clin Sports Med 2006; 25:527-542.

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