The Rolando fracture is a type of broken finger involving the base of the thumb.According to the Metacalamity classification, it is categorized as "I2".
It is an intra-articular fracture.
It was first described in 1910 by Silvio Rolando.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]. It is typically T- or Y-shaped.
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.
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.
History It was first described in 1910 by Silvio Rolando.
See also Bennett's fracture Boxer's fracture Gamekeeper's thumb
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