![]() ![]() Physical therapy may be recommended post-surgery to reinstate complete functionality of the thumb.Metal screws, wires and plates may be inserted to hold the broken bone fragments in place. It may also be required to treat a shortened or abnormally rotated thumb as a result of the injury. Surgical intervention may be required for a major Bennett’s fracture.The patient may be advised to wear a splint or cast to immobilize the thumb and promote a faster healing.In this, the thumb may be manually manipulating the joint to restore the original position of the bone. However, in case of a hairline fracture without any significant displacement, the orthopedic doctor may perform a closed reduction procedure. Conservative treatment is not usually recommended as the fracture involves displaced joint surfaces that need to be aligned back to their normal position.He may conduct certain imaging tests, such as X-ray, CT scan or MRI, to confirm the exact location of injury and extent of dislocation of the carpometacarpal joint. ![]() To diagnose a Bennett’s fracture, the orthopedic doctor may physically examine the site of injury to look for visible deformity and signs of dislocation. Visible deformity in the thumb and wrist We present 89 patients (average age 33 years) with Bennetts fracture (two part fracture to the first metacarpal base).Pain Swelling and tenderness at the base of the thumb.Contact sports injuries, such as in boxing, rugby and soccer.Falling on the hand with the thumb partially flexed.Thumb injury due to punching something hard.If not treated properly, the injury may result in loss of functionality, thumb weakness and the development of Osteoarthritis at the base of the thumb. In most cases, Bennet’s fracture causes this ligament to get detached from the bones, leading to a dislocation of the carpometacarpal joint. The cartilage that covers it helps in the extensive movement of the thumb and maintains joint stability. This is the point where the metacarpal bone of the thumb meets one of the eight carpal bones, trapezium, that forms the wrist. Bennet’s fracture can be defined as a crack or break in the first carpometacarpal joint at the base of the thumb. ![]()
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