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Rolando Fracture

In this article, we will discuss the Rolando Fracture. So, let’s get started.

Rolando Fracture

It is a three part or comminuted intra-articular fracture through the base of first metacarpal bone. It was described by Silvio Ronaldo in the year 1910. The fracture consists of three distinct fragments; typically T- or Y- shaped. The volar fragment remains attached to the carpometacarpal joint, while the main dorsal fragment subluxes or dislocates dorsally and radially due to the unopposed pull of the abductor pollicis longus muscle.

Mechanism of Injury

It is usually an axial blow to a partially flexed metacarpal, such as a fistfight.

Treatment

Treatment includes reduction with tension band wiring technique (it is a technique in which fracture fragments are transfixed by Kirschner wire) accompanied by external fixation.

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