The Upper Hand: Chuck & Chris Talk Hand Surgery Bennett Fractures, Rolando Fractures, and Guest Lecturer Sam!
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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.
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Bennett Fracture Reduction
- Reduce Bennett fractures with longitudinal traction and dorsal pressure.
- Pronate the thumb to help it key into place, but it will likely remain unstable.
Rolando vs. Bennett Fractures
- Rolando fractures, unlike Bennett fractures, involve a comminuted articular surface, resembling a Y-shape.
- They feature both radial and ulnar articular components, requiring surgical intervention (ORIF).
Return to Play
- For athletes, consider ORIF for quicker return to play, even with Bennett fractures.
- K-wires may require longer recovery time before returning to sports.