World Library  
Flag as Inappropriate
Email this Article

Rolando fracture

Article Id: WHEBN0012515412
Reproduction Date:

Title: Rolando fracture  
Author: World Heritage Encyclopedia
Language: English
Subject: Bone fractures, Bosworth fracture, Wagstaffe-Le Fort avulsion fracture, Hume fracture, Gustilo open fracture classification
Collection:
Publisher: World Heritage Encyclopedia
Publication
Date:
 

Rolando fracture

Rolando fracture
Classification and external resources
ICD-10 S62.2
eMedicine orthoped/288

The Rolando fracture is a comminuted intra-articular fracture through the base of the first metacarpal bone (the first bone forming the thumb[1]). It was first described in 1910 by Silvio Rolando.[2] This is a fracture consisting of 3 distinct fragments; it is typically T- or Y-shaped.

Treatment

There are several proposed methods of treatment. Interestingly 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.[3]

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.

Prognosis

The Rolando fracture is less common than the Bennett's fracture, and is associated with a worse prognosis.

See also

References

  1. ^ http://www.wheelessonline.com/ortho/rolandos_fracture
  2. ^ 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].
  3. ^ Howard, FM (Jul 1987). "Fractures of the basal joint of the thumb.". Clinical orthopaedics and related research (220): 46–51.  
Bibliography

External links


This article was sourced from Creative Commons Attribution-ShareAlike License; additional terms may apply. World Heritage Encyclopedia content is assembled from numerous content providers, Open Access Publishing, and in compliance with The Fair Access to Science and Technology Research Act (FASTR), Wikimedia Foundation, Inc., Public Library of Science, The Encyclopedia of Life, Open Book Publishers (OBP), PubMed, U.S. National Library of Medicine, National Center for Biotechnology Information, U.S. National Library of Medicine, National Institutes of Health (NIH), U.S. Department of Health & Human Services, and USA.gov, which sources content from all federal, state, local, tribal, and territorial government publication portals (.gov, .mil, .edu). Funding for USA.gov and content contributors is made possible from the U.S. Congress, E-Government Act of 2002.
 
Crowd sourced content that is contributed to World Heritage Encyclopedia is peer reviewed and edited by our editorial staff to ensure quality scholarly research articles.
 
By using this site, you agree to the Terms of Use and Privacy Policy. World Heritage Encyclopedia™ is a registered trademark of the World Public Library Association, a non-profit organization.
 


Copyright © World Library Foundation. All rights reserved. eBooks from Project Gutenberg are sponsored by the World Library Foundation,
a 501c(4) Member's Support Non-Profit Organization, and is NOT affiliated with any governmental agency or department.