Season 3 Case 11

History: Hand pain

Season 3 Case 11

Case 11

History: pain following trauma (Feel free to ignore the irregularity of the proximal 5th phalanx)


Answer:

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Case 11 Answer: Bennett Fracture-Dislocation

Findings: 2 piece intraarticular fracture of the base of the 1st metacarpal usually with some lateral retraction of the major metacarpal fragment radially by the abductor pollicis longus. Smaller fragment remains attached to the trapezium. Important because it classically requires ORIF

http://radiopaedia.org/articles/bennett-fracture-dislocation