Rolando's fracture Save

Rolando's Fracture: Causes, Symptoms, and Treatment

Rolando's fracture is a type of hand fracture that occurs at the base of the thumb, where it meets the wrist. This fracture is named after Silvio Rolando, an Italian surgeon who first described it in 1910. It is a relatively rare injury that accounts for only a small percentage of hand fractures.

Causes

Rolando's fracture is usually caused by a direct blow or impact to the thumb. This can happen during a fall, a sports injury, or an accident involving heavy machinery. The force of the impact causes the bone to break into three or more pieces, resulting in a complex fracture.

Symptoms

The symptoms of Rolando's fracture include pain, swelling, and bruising around the base of the thumb. There may also be difficulty moving the thumb and a visible deformity in the hand. In severe cases, the fracture may even break through the skin, leading to an open fracture.

Treatment

Treatment for Rolando's fracture depends on the severity of the injury. In some cases, the fracture may be able to heal on its own with a cast or splint to immobilize the hand. However, in more severe cases, surgery may be necessary to realign the bones and stabilize the fracture with pins, screws, or a metal plate.

1. If surgery is necessary, the patient will need to wear a cast or splint for several weeks to allow the bone to heal.
2. Physical therapy may also be necessary to restore range of motion and strength in the hand.
3. It is important to follow the doctor's instructions for aftercare, which may include taking pain medication, using ice and heat therapy, and avoiding certain activities that could aggravate the injury.

If left untreated, Rolando's fracture can lead to long-term pain, stiffness, and weakness in the hand. It is important to seek medical attention as soon as possible if you suspect you have a hand fracture, so that you can receive the appropriate treatment and prevent further damage.

Conclusion

Rolando's fracture is a complex hand fracture that requires prompt medical attention. With proper treatment, however, most patients are able to recover fully and regain full use of their hand. If you suspect you have a hand fracture, don't delay seeking medical attention.