Bennett fracture dislocation: Review and management. Early functional treatment and modern cast making for indications in hand surgery. You can learn more about how we ensure our content is accurate and current by reading our editorial policy. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. In some cases, your surgeon will extend the plate device outside your skin. This is called an open reduction with internal fixation. During surgery, a specialist will insert a small plate and screws to hold your bone fragments together while your bone heals. In a break called a Rolando fracture, there are multiple cracks to the large bone at the base of your thumb. The surgeon inserts screws or wires through your skin to hold the broken pieces in proper position while the bone heals. In about one third of breaks to the first metacarpal, there’s only a single broken fragment at the base of the bone. A surgeon specializing in hand surgery will probably be performing your procedure. If there’s been a lot of displacement of your bone fragments, or if your fracture reaches the CMC joint, you’ll likely need surgery to reset the bone. The spica cast immobilizes your thumb by wrapping around your forearm and thumb. This cast holds your thumb in place while your bone heals. You’ll be set in a special cast, known as a spica cast, for six weeks. It can be painful, so sedation or anesthesia may be used. If your broken bone fragments have not moved too far out of place, or if your fracture is in the middle of the bone shaft, your doctor may be able to set the bones without surgery. If you suspect a fracture or sprain, these methods may help while you’re waiting for immediate medical attention. This helps to reduce swelling and bleeding, if any.ĭon’t rely on these measures alone. Keep your injured hand elevated above your heart. Immobilization of your hand with a splint can help if you know someone with the proper knowledge to do so. If you suspect you’ve fractured your thumb, you can apply ice or cold water to the area to reduce swelling.
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