Imaging Studies

Anteroposterior (AP) and lateral radiographs of the thumb often do not reveal the full extent of articular comminution (see the image below)

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

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Additional radiographic views include a Robert radiograph (a hyperpronated view of the thumb base), tomography, and computed tomography (CT). (See the images below.)

$Lateral tomograph of a Rolando fracture clearly sh$ 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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$Anteroposterior tomograph of a Rolando fracture fu$ 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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Improved assessment of the number of fragments and metaphyseal impaction can aid in decision-making with regard to open reduction versus external fixation.

Treatment & Management

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Media Gallery

Lateral radiograph of a Rolando fracture. Note how the comminution is not easily viewed on this film.
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 further emphasizes the extent of comminution of the articular surface (same patient as in Image above).
Radiograph of a healed Rolando fracture following fixation of the articular surface and neutralization with a small plate.

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Rolando Fracture Workup

Imaging Studies

References

Tables

Contributor Information and Disclosures

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