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Injuries to the wrist

Injuries to the wrist . By : Dr. sanjeev . Bennett`s fracture. Definition : - is a fracture dislocation of the palmar base of the 1 st metacarpal bone of the thumb with either subluxation or dislocation of the 1 st carpometacarpal joint MOI : -

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Injuries to the wrist

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  1. Injuries to the wrist By : Dr. sanjeev

  2. Bennett`s fracture • Definition : - is a fracture dislocation of the palmar base of the 1st metacarpal bone of the thumb with either subluxation or dislocation of the 1st carpometacarpal joint MOI : - • Direct blow against the partially flexed metacarpal, in most cases during fist fights

  3. Bennett Fracture • Fig : -

  4. Site • Fig : -

  5. Clinical features • Pain • Swelling and tenderness over the base of the thumb • Movements of the thumb are severely restricted

  6. Signs • inability to touch the base of the little finger with the tip of your thumb

  7. Bennett`s fracture • Investigation : • Plain X – ray

  8. Treatment • Closed reduction and percutaneous fixation with k – wire • If fails , ORIF with K – wire or a small screw

  9. Percutaneous Pin Fixation • pins stabilize first metacarpal to trapezium or second metacarpal

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