|Diagnostic method||Medical imaging: X-ray, CT scan, MRI scan|
|Frequency||1.4% to 4% of all hand fractures, up to 20% base of thumb fractures|
It is typically T- or Y-shaped.
There are several proposed methods of treatment. The quality of reduction does not correlate with late symptoms and osteoarthritic changes. Despite this fact, the joint surface should be restored as close to its anatomical position as possible. Some advocate fixation with Kirschner wires, or plate and screw constructions. Another accepted treatment is an external fixator accompanied by the tension band wiring technique.
Tension band wiring is a technique in which the bone fragments are transfixed by Kirschner wires, which are then also used as an anchor for a loop of flexible wire. As the loop is tightened the bone fragments are compressed together.
The Rolando fracture is a common type of articular fracture.
- Feletti, Francesco; Varacallo, Matthew (2022). "Rolando Fractures". StatPearls. StatPearls Publishing. PMID 31194364. Archived from the original on 2022-09-27. Retrieved 2022-09-08.
- White, Timothy O.; Mackenzie, Samuel P.; Gray, Alasdair J. (2016). "13. Hand". McRae's Orthopaedic Trauma and Emergency Fracture Management (3rd ed.). Elsevier. pp. 275–277. ISBN 978-0-7020-5728-1. Archived from the original on 2021-08-28. Retrieved 2022-09-08.
- Rolando S. Fracture de la base du premier metacarpien et principalement sur une variete` non encore e`crite. Presse Med 1910;33:303–4 [in French].
- Howard, FM (Jul 1987). "Fractures of the basal joint of the thumb". Clinical Orthopaedics and Related Research (220): 46–51. doi:10.1097/00003086-198707000-00007. PMID 3595009.