The Upper Hand: Chuck & Chris Talk Hand Surgery
Bennett Fractures, Rolando Fractures, and Guest Lecturer Sam!
Nov 3, 2024
The hosts dive into the complexities of Bennett and Rolando fractures, offering insights on treatment options and the surgical techniques needed for proper management. They explore intriguing case studies from college football players, blending humor with medical discussions. The conversation also touches on ulnar shortening osteotomy and TFCC debridement, highlighting their effectiveness for wrist issues. Personal anecdotes add a light-hearted twist, making complex orthopedic topics accessible and engaging.
39:49
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Quick takeaways
- Bennett and Rolando fractures differ significantly in their complexity and treatment approaches, necessitating careful assessment for optimal management.
- Effective surgical techniques and post-surgical strategies are critical to ensuring proper healing and successful return to activity for athletes.
Deep dives
Understanding Bennett and Rolando Fractures
Bennett fractures are defined as intra-articular fractures at the base of the thumb metacarpal, characterized by a fragment that remains attached by the anterior oblique ligament. The ligament’s integrity means the fracture fragment stays in place, although the metacarpal is misaligned due to the pull of the abductor pollicis longus tendon. In contrast, the more complex Rolando fractures consist of multiple fragments resembling a 'Y' shape, necessitating surgical intervention due to their intricate nature. Both types of fractures require careful assessment and differentiated treatment approaches, especially with regards to managing their stability and potential complications.
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