Comments on: radER 3.1

By: radER 3.2 Answer « Receiving.

radER 3.2 Answer « Receiving. — Thu, 10 Dec 2009 14:32:04 +0000

[...] 3. Is the prognosis better or worse than the fracture seen in radER 3.1 [...]

By: radER 3.2 « Receiving.

radER 3.2 « Receiving. — Mon, 30 Nov 2009 17:07:04 +0000

[...] 3. Is the prognosis better or worse than the fracture seen in radER 3.1 [...]

By: Brian Junnila

Brian Junnila — Thu, 27 Aug 2009 22:55:15 +0000

1. Bennett’s Fracture Dislocation. It is an oblique intra-articular fracture at the base of the 1st carpometacarpal joint.

2. The volar fragment of the 1st proximal metacarpal (the palmar break fragment) remains articulated with the trapezius bone because it is still anchored by the anterior oblique ligament.

The distal metacarpal fragment (the rest of the 1st metacarpal) is displaced proximally, radially, dorsally and rotated in supination by the Abductor Pollicus Longus tendon which inserts on the radial side of the 1st metacarpal.

3. Attempt closed reduction or percutaneous pin fixation when there is less than 3mm of displacement.

Reduce the fracture by appying inline traction to the metacarpal shaft and rotating it in pronation to bring it into opposition with the non-displaced fragment. Place in a thumb spica splint for 4-6 weeks.

Consider open reduction and internal fixation when there is more than 3mm of displacement.

By: Shereaf Walid

Shereaf Walid — Thu, 27 Aug 2009 21:42:37 +0000

1. Bennett’s fracture
2. the abductor pollicis longus causes lateral retraction of the 1st metacarpal shaft.
3. Here all we have to do is call ortho, but if you had no backup I would:
1. give appropriate analgesia
2. do a closed reduction via thumb traction with metacarpal extension, pronation and abduction. Use the C-arm to verify careful alignment.
3. place in thumb spica and get post reduction films.
4. send to ortho within 3 days b/c the pt needs surgery, they’ll probably place 2 percutaneous K-wires

By: Devon Moore

Devon Moore — Thu, 27 Aug 2009 18:49:14 +0000

1.) Bennett’s fracture

2.) The anterior (volar) oblique ligament

3.) Closed reduction and thumb spica cast immobilization. If it is open or reduction is unsuccessful, then patient will need surgery with pinning.

By: Bao Dang

Bao Dang — Wed, 26 Aug 2009 23:15:45 +0000

Bennet’s Fracture, the Abductor policis longus, immobilization with spica spint and orthopeadic referal because fracture may require surgery to reduce

By: Marjan Siadat

Marjan Siadat — Wed, 26 Aug 2009 03:48:02 +0000

1) Skier’s/Gamekeeper’s thumb.
2) Ulnar collateral ligament.
3) Need to rest thumb and ligament–place in thumb cast or wrist splint. If ligament is torn, may require surgical intervention.

By: Claire Jensen

Claire Jensen — Tue, 25 Aug 2009 05:06:52 +0000

1. Bennett Fracture
2. Abductor pollicis longus
3. Thumb spica and hand/ortho surgery consult
4. They play polo in Detroit?

By: Rob Klever

Rob Klever — Mon, 24 Aug 2009 18:56:52 +0000

1) Bennett’s Fx
2) abductor pollicis longus and adductor pollicis
3) Closed reduction and thumb spica cast immobilization in ‘hitchhiker position’

By: Mike fernandes

Mike fernandes — Mon, 24 Aug 2009 16:11:39 +0000

1. bennett’s fracture

2. abductor pollicis longus

3. thumb spica splint F/U with hand surgery for ORIF