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

Reference:

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