Thursday, August 15, 2024

Bennett Fracture/Dislocation:

Bennett Fracture/Dislocation:

A type of injury that combines a fracture of the first metacarpal bone (thumb) with a dislocation of the carpometacarpal (CMC) joint.

Causes:

1. Direct blows to the thumb or hand
2. Falls onto an outstretched hand
3. Sports injuries (e.g., football, hockey, rugby)
4. Twisting or bending injuries

Symptoms:

1. Pain and tenderness in the thumb or hand
2. Swelling and bruising
3. Limited mobility or stiffness
4. Visible deformity or bump

Classification:

1. Type I: Fracture of the first metacarpal bone with a CMC joint dislocation
2. Type II: Fracture of the first metacarpal bone with a CMC joint subluxation (partial dislocation)

Treatment:

1. Non-surgical: Immobilization, pain management, and physical therapy
2. Surgical: Open reduction and internal fixation (ORIF) or closed reduction and percutaneous pinning

Complications:

1. Chronic pain and limited mobility
2. Arthritis or degeneration of the CMC joint
3. Fracture nonunion or malunion
4. Nerve or blood vessel damage

Recovery:

1. Immobilization: 4-6 weeks
2. Physical therapy: 3-6 months
3. Return to sports: 6-12 months


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