Injuries to the wrist By : Dr. sanjeev.

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Presentation transcript:

Injuries to the wrist By : Dr. sanjeev

Bennett`s fracture Definition : - is a fracture dislocation of the palmar base of the 1st metacarpal bone of the thumb with either subluxation or dislocation of the 1st carpometacarpal joint MOI : - Direct blow against the partially flexed metacarpal, in most cases during fist fights

Bennett Fracture Fig : -

Site Fig : -

Clinical features Pain Swelling and tenderness over the base of the thumb Movements of the thumb are severely restricted

Signs inability to touch the base of the little finger with the tip of your thumb

Bennett`s fracture Investigation : Plain X – ray

Treatment Closed reduction and percutaneous fixation with k – wire If fails , ORIF with K – wire or a small screw

Percutaneous Pin Fixation pins stabilize first metacarpal to trapezium or second metacarpal