Hand is a complex structure providing dexterity to humans. It is complex of many bones, joints, ligaments and muscles. There is fine coordination between all of these at sensory and motor levels in brain. This allows the hand to perform gross movements like gripping, grasping and precise skills like tying a button, stitching etc. The most complex fracture is Hand Fracture.
The most complex structure in hand to have evolved. And provided necessary pinching capability is the thumb. Any injury to the thumb therefore is bound to produce gross disability and loss of function.
Bennett’s fracture dislocation or hand fracture is fracture of base of thumb. With fracture line going through the joint aka intra-articular. A portion of the base remains where it was, and the remainder entire shaft of 1st metacarpal moves from its place producing a visible deformity.
Early diagnosis and treatment hold the key to return of good function. And preventing delayed arthritic changes in this important joint. A portion of the base remains where it was, and the remainder entire shaft of 1st metacarpal moves from its place producing a visible deformity.
Hand Fracture Case
Presented here is a case of 65 yrs. old gentle man with history of fall in market. Following which he sustained a Bennett’s fracture of right thumb. The fracture was widely displaced. The plan made was to put back the fractured fragments into place and fix with k wires. K wires are thin steel wires that are generally put closed through the skin to hold the fracture fragments together in anatomic position. Under image intensifier, 4 k wires were used to fix the fracture without any skin incision. These k wires can ne removed in OPD without any requirement for further anesthesia, once the fracture unites. In this case the wires were removed at 6 weeks. The patient was then sent for rehabilitation of the thumb.