Rolando fracture

Rolando fracture
SpecialtyOrthopedics
ComplicationsStiffness, osteoarthritis[1]
Diagnostic methodMedical imaging: X-ray, CT scan, MRI scan[1]
Frequency1.4% to 4% of all hand fractures, up to 20% base of thumb fractures[1]

Rolando fracture is a type of broken finger involving the base of the thumb.[2]

It is typically T- or Y-shaped.[1]

Rolando fractures accounts for 1.4% to 4% of hand fractures and up to 20% base of thumb fractures.[1] It was first described in 1910 by Silvio Rolando.[1][3]

Diagnosis

  • 'Y-shaped' Rolanda fracture
    'Y-shaped' Rolanda fracture

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.[4]

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.

Epidemiology

The Rolando fracture is a common type of articular fracture.[2]

See also

References

  1. 1 2 3 4 5 6 Feletti, Francesco; Varacallo, Matthew (2022). "Rolando Fractures". StatPearls. StatPearls Publishing. PMID 31194364. Archived from the original on 2022-09-27. Retrieved 2022-09-08.
  2. 1 2 White, Timothy O.; Mackenzie, Samuel P.; Gray, Alasdair J. (2016). "13. Hand". McRae's Orthopaedic Trauma and Emergency Fracture Management (3rd ed.). Elsevier. pp. 275–277. ISBN 978-0-7020-5728-1. Archived from the original on 2021-08-28. Retrieved 2022-09-08.
  3. ↑ Rolando S. Fracture de la base du premier metacarpien et principalement sur une variete` non encore e`crite. Presse Med 1910;33:303–4 [in French].
  4. ↑ Howard, FM (Jul 1987). "Fractures of the basal joint of the thumb". Clinical Orthopaedics and Related Research (220): 46–51. doi:10.1097/00003086-198707000-00007. PMID 3595009.
Classification
External resources
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