Presentation
History and Physical Examination
Following injury, patients present with a swollen, tender thumb base. If significant varus has developed, a clinically visible deformity may be present. However, swelling can mask a surprising amount of angulation. Neurovascular and tendon injuries are not commonly associated with this fracture.
Media Gallery
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Lateral radiograph of a Rolando fracture. Note how the comminution is not easily viewed on this film.
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Lateral tomograph of a Rolando fracture clearly shows the varus angulation at the fracture, as well as the multiple fragments of the articular surface.
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Anteroposterior tomograph of a Rolando fracture further emphasizes the extent of comminution of the articular surface (same patient as in Image above).
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Radiograph of a healed Rolando fracture following fixation of the articular surface and neutralization with a small plate.
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