eMedicine Specialties > Orthopedic Surgery > Hand & Upper Extremity

Rolando Fracture: Multimedia

Author: John J Walsh IV, MD, Associate Professor, Department of Orthopedic Surgery, University of South Carolina School of Medicine
Contributor Information and Disclosures

Updated: Feb 17, 2009

Multimedia

Lateral radiograph of a Rolando fracture. Note ho...Media file 1: Lateral radiograph of a Rolando fracture. Note how the comminution is not easily viewed on this film.
Lateral radiograph of a Rolando fracture. Note ho...

Lateral radiograph of a Rolando fracture. Note how the comminution is not easily viewed on this film.

Lateral tomograph of a Rolando fracture clearly s...Media file 2: Lateral tomograph of a Rolando fracture clearly shows the varus angulation at the fracture, as well as the multiple fragments of the articular surface.
Lateral tomograph of a Rolando fracture clearly s...

Lateral tomograph of a Rolando fracture clearly shows the varus angulation at the fracture, as well as the multiple fragments of the articular surface.

Anteroposterior tomograph of a Rolando fracture f...Media file 3: Anteroposterior tomograph of a Rolando fracture further emphasizes the extent of comminution of the articular surface (same patient as in Image above).
Anteroposterior tomograph of a Rolando fracture f...

Anteroposterior tomograph of a Rolando fracture further emphasizes the extent of comminution of the articular surface (same patient as in Image above).

Radiograph of a healed Rolando fracture following...Media file 4: Radiograph of a healed Rolando fracture following fixation of the articular surface and neutralization with a small plate.
Radiograph of a healed Rolando fracture following...

Radiograph of a healed Rolando fracture following fixation of the articular surface and neutralization with a small plate.

More on Rolando Fracture

Overview: Rolando Fracture
Workup: Rolando Fracture
Treatment: Rolando Fracture
Follow-up: Rolando Fracture
Multimedia: Rolando Fracture
References
Further Reading

References

  1. Breen TF, Gelberman RH, Jupiter JB. Intra-articular fractures of the basilar joint of the thumb. Hand Clin. Aug 1988;4(3):491-501. [Medline].

  2. Foster RJ, Hastings H 2nd. Treatment of Bennett, Rolando, and vertical intraarticular trapezial fractures. Clin Orthop Relat Res. Jan 1987;(214):121-9. [Medline].

  3. Howard FM. Fractures of the basal joint of the thumb. Clin Orthop Relat Res. Jul 1987;(220):46-51. [Medline].

  4. Peterson JJ, Bancroft LW. Injuries of the fingers and thumb in the athlete. Clin Sports Med. Jul 2006;25(3):527-42, vii-viii. [Medline].

  5. Stern P. Fractures of the metacarpals and phalanges. In: Green D, Hotchkiss R, Pederson WC, eds. Green's Operative Hand Surgery. Vol 2. 4th ed. New York, NY: Churchill Livingstone; 1999:763-4.

  6. Rolando S. Fracture of the base of the first metacarpal and a variation that has not yet been described. 1910. Clin Orthop Relat Res. Jun 1996;(327):4-8. [Medline].

  7. Rolando S. Fracture of the base of the first metacarpal and a variation that has not yet been described: 1910. (Translated by Roy A. Meals). Clin Orthop Relat Res. Apr 2006;445:15-8. [Medline].

  8. De Kesel R, Burny F, Schuind F. Mini external fixation for hand fractures and dislocations: The current state of the art. Hand Clin. Aug 2006;22(3):307-15. [Medline].

  9. Kent R, Stacey S, Parenteau C. Dynamic pinch tolerance of the phalanges and interphalangeal joints. Traffic Inj Prev. Mar 2008;9(1):83-8. [Medline].

  10. Byrne AM, Kearns SR, Morris S, Kelly EP. "S" Quattro external fixation for complex intra-articular thumb fractures. J Orthop Surg (Hong Kong). Aug 2008;16(2):170-4. [Medline].

  11. Edmunds JO. Traumatic dislocations and instability of the trapeziometacarpal joint of the thumb. Hand Clin. Aug 2006;22(3):365-92. [Medline].

  12. Geissler WB. Cannulated percutaneous fixation of intra-articular hand fractures. Hand Clin. Aug 2006;22(3):297-305, vi. [Medline].

  13. Spangberg O, Thoren L. Bennett's fracture. A method of treatment with oblique traction. J Bone Joint Surg Br. Nov 1963;45:732-6. [Medline][Full Text].

  14. Gelberman RH, Vance RM, Zakaib GS. Fractures at the base of the thumb: treatment with oblique traction. J Bone Joint Surg Am. Mar 1979;61(2):260-2. [Medline][Full Text].

  15. Langhoff O, Andersen K, Kjaer-Petersen K. Rolando's fracture. J Hand Surg [Br]. Nov 1991;16(4):454-9. [Medline].

  16. Proubasta IR. Rolando's fracture of the first metacarpal. Treatment by external fixation. J Bone Joint Surg Br. May 1992;74(3):416-7. [Medline][Full Text].

  17. Buchler U, McCollam SM, Oppikofer C. Comminuted fractures of the basilar joint of the thumb: combined treatment by external fixation, limited internal fixation, and bone grafting. J Hand Surg [Am]. May 1991;16(3):556-60. [Medline].

  18. Brüske J, Bednarski M, Niedzwiedz Z, Zyluk A, Grzeszewski S. The results of operative treatment of fractures of the thumb metacarpal base. Acta Orthop Belg. Oct 2001;67(4):368-73. [Medline].

  19. Kontakis GM, Katonis PG, Steriopoulos KA. Rolando's fracture treated by closed reduction and external fixation. Arch Orthop Trauma Surg. 1998;117(1-2):84-5. [Medline].

  20. Pehlivan O, Cilli F, Mahirogullari M, Ozyurek S. Management of combined open fractures of thumb metacarpal and trapezium (surgical tip). Hand (N Y). Jun 2007;2(2):48-50. [Medline].

  21. Pelissier P, Sawaya E, Sabri E. Re: "inside screw" wire-frame for internal fixation of intraarticular fracture. J Hand Surg Eur Vol. Apr 2008;33(2):223-4. [Medline].

  22. Schramm JM, Nguyen M, Wongworawat MD, Kjellin I. Does thumb immobilization contribute to scaphoid fracture stability?. Hand (N Y). Mar 2008;3(1):41-3. [Medline].

  23. 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].

Further Reading

Clinical guidelines and trials:

ACR Appropriateness Criteria® acute hand and wrist trauma.
American College of Radiology.  1998 (revised 2005).  8 pages. [NGC Update Pending] NGC:004607

CMC (Carpometacarpal) OA (Osteoarthritis) Thumb Splint Study

Prolotherapy Versus Steroids for Thumb Carpo-Metacarpal Joint Arthritis

Keywords

Rolando fracture, Rolando's fracture, comminuted thumb, metacarpal base fractures, fractures of the thumb base, thumb injury, broken thumb, thumb fracture, juxta-articular metaphyseal fracture, Bennett fracture

Contributor Information and Disclosures

Author

John J Walsh IV, MD, Associate Professor, Department of Orthopedic Surgery, University of South Carolina School of Medicine
John J Walsh IV, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Society for Surgery of the Hand, and Christian Medical & Dental Society
Disclosure: Nothing to disclose.

Medical Editor

A Lee Osterman, MD, Director of Hand Surgery Fellowship, Director, Philadelphia Hand Center; Director, Professor, Department of Orthopedic Surgery, Division of Hand Surgery, University Hospital, Thomas Jefferson University
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: eMedicine Salary Employment

Managing Editor

Michael Yaszemski, MD, PhD, Associate Professor, Departments of Orthopedic Surgery and Bioengineering, Mayo Foundation, Mayo Medical School
Disclosure: Nothing to disclose.

CME Editor

Dinesh Patel, MD, FACS, Associate Clinical Professor of Orthopedic Surgery, Harvard Medical School; Chief of Arthroscopic Surgery, Department of Orthopedic Surgery, Massachusetts General Hospital
Dinesh Patel, MD, FACS is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Association of Physicians of Indian Origin, American College of International Physicians, and American College of Surgeons
Disclosure: Nothing to disclose.

Chief Editor

Harris Gellman, MD, Consulting Surgeon, Broward Hand Center; Voluntary Clinical Professor of Orthopedic Surgery and Plastic Surgery, Departments of Orthopedic Surgery and Surgery, University of Miami School of Medicine
Harris Gellman, MD is a member of the following medical societies: American Academy of Medical Acupuncture, American Academy of Orthopaedic Surgeons, American Orthopaedic Association, American Society for Surgery of the Hand, and Arkansas Medical Society
Disclosure: Nothing to disclose.

 
 
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