eMedicine Specialties > Orthopedic Surgery > Hand & Upper Extremity
Bennett Fracture: Follow-up
Updated: Jan 11, 2008
Outcome and Prognosis
The prognosis for Bennett fractures is most closely related to the amount of energy associated with the original injury. High-energy injuries produce comminution, articular surface damage, and extensive soft-tissue injury, leading to a poor outcome. With anatomic restoration of the joint surface and reestablishment of stability, the outcome is routinely good, especially in low-energy injuries with simple fracture patterns and limited soft-tissue involvement.
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References
Bennett EH. Fractures of the Metacarpal Bones. Dublin Med Sci J. 1882;73:72-75.
Green DP, Stern PJ. Fractures of the metacarpals and phalanges. In: Green's Operative Hand Surgery. New York, NY. Churchill Livingstone;1999:711-772.
Peimer CA, Wolfe SW, Elliot AJ. Metacarpal and carpometacarpal trauma. In: Surgery of the Hand and Upper Extremity. 1st ed. New York, NY. McGraw-Hill;1996:883-920.
Rockwood CA, Green DP, Butler TE Jr. Fractures and dislocations of the hand. In: Rockwood and Green's Fractures in Adults. Philadelphia, Pa. Lippincott-Raven;1996:607-744.
Soyer AD. Fractures of the base of the first metacarpal: current treatment options. J Am Acad Orthop Surg. Nov-Dec 1999;7(6):403-12. [Medline].
Nagaoka M, Nagao S, Matsuzaki H. Trapeziometacarpal joint instability after Bennett's fracture-dislocation. J Orthop Sci. Jul 2005;10(4):374-7. [Medline].
Sawaizumi T, Nanno M, Nanbu A, Ito H. Percutaneous leverage pinning in the treatment of Bennett's fracture. J Orthop Sci. 2005;10(1):27-31. [Medline].
Lutz M, Sailer R, Zimmermann R, Gabl M, Ulmer H, Pechlaner S. Closed reduction transarticular Kirschner wire fixation versus open reduction internal fixation in the treatment of Bennett's fracture dislocation. J Hand Surg [Br]. Apr 2003;28(2):142-7. [Medline].
Further Reading
Keywords
thumb CMC fractures, thumb carpal-metacarpal fracture, thumb carpometacarpal fracture, Bennett's fracture, Bennett's fractures, thumb injury, thumb fracture
Follow-up: Bennett Fracture