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Thumb Fractures

  • Mohamed Noureldin
  • Sanjeev KakarEmail author
Chapter
Part of the In Clinical Practice book series (ICP)

Abstract

The thumb contributes up to 40% of total hand function. If not managed appropriately, thumb injuries can have a devastating effect upon hand function. The majority of these injuries are fractures of the metacarpal base, ligamentous injuries about the metacarpophalangeal joint, and phalangeal fractures. In this chapter, we discuss the presentation, assessment, treatment, and outcome of thumb fractures.

Keywords

Thumb Metacarpal Phalangeal Intra-articular Fractures Mallet thumb Gamekeeper’s thumb Skier’s thumb Bennett’s fractures Rolando fracture Stener lesion Ulnar collateral ligament 

Notes

Disclosure

No funds were received in support of this work. No benefits in any form have been or will be received from any commercial party related directly or indirectly to the subject of this manuscript.

References

  1. 1.
    Cannon SR, Dowd GSE, Williams DH, Scott JM. A long-term study following Bennett’s fracture. J Hand Surg (Br Eur Vol). 1986;11(3):426–31.CrossRefGoogle Scholar
  2. 2.
    Carlsen BT, Moran SL. Thumb trauma: Bennett fractures, Rolando fractures, and ulnar collateral ligament injuries. J Hand Surg Am. 2009;34(5):945–52.CrossRefGoogle Scholar
  3. 3.
    De Jonge JJ, Kingma J, van der Lei B, Klasen H. Phalangeal fractures of the hand. An analysis of gender and age-related incidence and aetiology. J Hand Surg Br. 1994;19(2):168–70.CrossRefGoogle Scholar
  4. 4.
    Derkash RS, Matyas JR, Weaver JK, et al. Acute surgical repair of the skier’s thumb. Clin Orthop Relat Res. 1987;216:29–33.Google Scholar
  5. 5.
    Dinowitz M, Trumble T, Hanel D, Vedder NB, Gilbert M. Failure of cast immobilization for thumb ulnar collateral ligament avulsion fractures. J Hand Surg Am. 1997;22(6):1057–63.CrossRefGoogle Scholar
  6. 6.
    Edmunds JO. Traumatic dislocations and instability of the trapeziometacarpal joint of the thumb. Hand Clin. 2006;22(3):365–92.CrossRefGoogle Scholar
  7. 7.
    Green DP, Wolfe SW. Green’s operative hand surgery. Saunders: Elsevier; 2011.Google Scholar
  8. 8.
    Ishizuki M, Sugihara T, Wakabayashi Y, Shirasaka R, Aoyama H. Stener-like lesions of collateral ligament ruptures of the metacarpophalangeal joint of the finger. J Orthop Sci. 2009;14(2):150–4.CrossRefGoogle Scholar
  9. 9.
    Kjaer-Petersen K, Langhoff O, Andersen K. Bennett’s fracture. J Hand Surg Br. 1990;15(1):58–61.CrossRefGoogle Scholar
  10. 10.
    Kuz JE, Husband JB, Tokar N, McPherson SA. Outcome of avulsion fractures of the ulnar base of the proximal phalanx of the thumb treated nonsurgically. J Hand Surg Am. 1999;24(2):275–82.CrossRefGoogle Scholar
  11. 11.
    Langhoff O, Andersen K, Kjaer-Petersen K. Rolando’s fracture. J Hand Surg. 1991;16(4):454–9.CrossRefGoogle Scholar
  12. 12.
    Livesley PJ. The conservative management of Bennett’s fracture-dislocation: a 26-year follow-up. J Hand Surg. 1990;15(3):291–4.Google Scholar
  13. 13.
    Miller MD, Hart JA, MacKnight JM. Essential orthopaedics. Saunders: Elsevier; 2010.Google Scholar
  14. 14.
    Mitsionis GI, Varitimidis SE, Sotereanos GG. Treatment of chronic injuries of the ulnar collateral ligament of the thumb using a free tendon graft and bone suture anchors. J Hand Surg Br. 2000;25(2):208–11.CrossRefGoogle Scholar
  15. 15.
    Moran SL, Berger RA. Biomechanics and hand trauma: what you need. Hand Clin. 2003;19(1):17–31.CrossRefGoogle Scholar
  16. 16.
    Oak N, Lawton JN. Intra-articular fractures of the hand. Hand Clin. 2013;29(4):535–49.CrossRefGoogle Scholar
  17. 17.
    Peterson J, Bancroft L. Injuries of the fingers and thumb in the athlete. Clin Sports Med. 2006;25(3):527–42. vii–viiiCrossRefGoogle Scholar
  18. 18.
    Sailer M, Lutz R, Zimmermann R, Gabl M, Ulmer H, Pechlaner S. Closed reduction transarticular Kirschner wire fixation versus open reduction internal fixation in the treatment of Bennett’s fracture dislocation. J Hand Surg (Br Eur Vol). 2003;28(2):142–7.CrossRefGoogle Scholar
  19. 19.
    Sakellarides HT, DeWeese JW. Instability of the metacarpophalangeal joint of the thumb. Reconstruction of the collateral ligaments using the extensor pollicis brevis tendon. J Bone Joint Surg Am. 1976;58(1):106–12.CrossRefGoogle Scholar
  20. 20.
    Stanton JS, Dias JJ, Burke FD. Fractures of the tubular bones of the hand. J Hand Surg Eur Vol. 2007;32(6):626–36.CrossRefGoogle Scholar
  21. 21.
    Zemirline A, Lebailly F, Taleb C, Facca S, Liverneaux P. Arthroscopic assisted percutaneous screw fixation of Bennett’s fracture. Hand Surg. 2014;19(2):281–6.  https://doi.org/10.1142/S0218810414970053.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of Orthopedic SurgeryMayo ClinicRochesterUSA

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