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Reverse Bennett’s Fracture

  • Alan E. Freeland
  • Michael E. Jabaley
  • James L. Hughes

Abstract

The fracture-dislocation at the base of the fifth metacarpal is analogous to Bennett's fracture of the thumb (Fig. 13-1 A). Because of the obliquity of the fracture line, the obliquity of the metacarpal hamate joint, and the pull of the extensor carpi ulnaris, this fracture-dislocation tends to be unstable and to displace, much in the same fashion as the first metacarpal in a Bennett's fracture and with similar functional impairment.

Fig. 13-1 A

A 25-year-old auto mechanic struck his fist against a door and sustained a displaced reverse Bennett’s fracture of the fifth metacarpal base. (Figs. A-E reproduced with permission from Freeland, A.E., and Jabaley, M.E.: Management of Rand Fractures by Stable Fixation, in Rabal, M.B.: et al (Eds): Advances in Plastic and Reconstructive Surgery, Vol. 2, copyright © 1986 by Year Book Medical Publishers, Inc., Chicago.)

This is a pronated lateral view of a reverse Bennett’s fracture of the base of the fifth metacarpal.

Keywords

Closed Reduction Stable Fixation Percutaneous Pinning Intraarticular Fracture Metacarpal Base 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Copyright information

© Springer-Verlag New York Inc. 1986

Authors and Affiliations

  • Alan E. Freeland
    • 1
    • 2
  • Michael E. Jabaley
    • 3
    • 4
  • James L. Hughes
    • 5
    • 6
  1. 1.Section of Hand SurgeryUniversity of Mississippi Medical CenterJacksonUSA
  2. 2.Jackson Veteran’s Administration Hospital, Mississippi Methodist Rehabilitation Center, Blake Clinic for Crippled Children and Mississippi Children’s Rehabilitation CenterJacksonUSA
  3. 3.Division of Plastic SurgeryUniversity of Mississippi Medical CenterJacksonUSA
  4. 4.St. Dominic’s-Jackson Health Services Center, Mississippi Baptist Medical Center, River Oaks Hospital, Mississippi Methodist Rehabilitation CenterJacksonUSA
  5. 5.Division of Orthopaedic SurgeryUniversity of Mississippi Medical CenterJacksonUSA
  6. 6.Jackson Veteran’s Administration Hospital, Mississippi Methodist Rehabilitation Center, Blake Clinic for Crippled Children and Mississippi Children’s Rehabilitation CenterJacksonUSA

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