Book contents
- Frontmatter
- Contents
- FOREWORD TO THE GOLDEN JUBILEE EDITION
- FOREWORD
- PREFACE TO THE FIRST EDITION
- PREFACE TO THE THIRD EDITION
- CHAPTER I CONSERVATIVE VERSUS OPERATIVE METHODS
- CHAPTER II THE MECHANICS OF CONSERVATIVE TREATMENT
- CHAPTER III JOINT MOVEMENT IN CONSERVATIVE METHODS
- CHAPTER IV THE TREATMENT OF FRACTURE SWITH OUT PLASTER OF PARIS
- CHAPTER V PLASTER TECHNIQUE
- CHAPTER VI FRACTURES OF THE SHAFT OF THE HUMERUS
- CHAPTER VII SUPRACONDYLAR FRACTURES OF THE HUMERUS IN CHILDREN
- CHAPTER VIII FRACTURES OF THE RADIUS AND ULNA
- CHAPTER IX THE COLLES' FRACTURE
- CHAPTER X THE BENNETT'S FRACTURE
- CHAPTER XI FINGER FRACTURES
- CHAPTER XII PERTROCHANTERIC FRACTURES OF THE NECK OF THE FEMUR
- CHAPTER XIII FRACTURES OF THE SHAFT OF THE FEMUR
- CHAPTER XIV FRACTURES OF THE FEMORAL AND TIBIAL CONDYLES
- CHAPTER XV FRACTURES OF THE SHAFT OF THE TIBIA
- CHAPTER XVI THE POTT'S FRACTURE
- INDEX
- THE JOHN CHARNLEY TRUST
CHAPTER X - THE BENNETT'S FRACTURE
Published online by Cambridge University Press: 26 May 2010
- Frontmatter
- Contents
- FOREWORD TO THE GOLDEN JUBILEE EDITION
- FOREWORD
- PREFACE TO THE FIRST EDITION
- PREFACE TO THE THIRD EDITION
- CHAPTER I CONSERVATIVE VERSUS OPERATIVE METHODS
- CHAPTER II THE MECHANICS OF CONSERVATIVE TREATMENT
- CHAPTER III JOINT MOVEMENT IN CONSERVATIVE METHODS
- CHAPTER IV THE TREATMENT OF FRACTURE SWITH OUT PLASTER OF PARIS
- CHAPTER V PLASTER TECHNIQUE
- CHAPTER VI FRACTURES OF THE SHAFT OF THE HUMERUS
- CHAPTER VII SUPRACONDYLAR FRACTURES OF THE HUMERUS IN CHILDREN
- CHAPTER VIII FRACTURES OF THE RADIUS AND ULNA
- CHAPTER IX THE COLLES' FRACTURE
- CHAPTER X THE BENNETT'S FRACTURE
- CHAPTER XI FINGER FRACTURES
- CHAPTER XII PERTROCHANTERIC FRACTURES OF THE NECK OF THE FEMUR
- CHAPTER XIII FRACTURES OF THE SHAFT OF THE FEMUR
- CHAPTER XIV FRACTURES OF THE FEMORAL AND TIBIAL CONDYLES
- CHAPTER XV FRACTURES OF THE SHAFT OF THE TIBIA
- CHAPTER XVI THE POTT'S FRACTURE
- INDEX
- THE JOHN CHARNLEY TRUST
Summary
Opinions vary considerably on the frequency of late symptoms following unsatisfactory reductions of a Bennett's fracture. Casualty officers do not usually find it an easy fracture to reduce, and because it is also quite a common injury, one can presume that numerous cases must be treated inexpertly every year; but even so, the number of cases presenting themselves with symptoms of traumatic arthritis is remarkably few. However, this is no reason why a high standard of manipulative reduction should not be expected. The reduction of this fracture presents no great mechanical difficulty but it demands from the surgeon a fine sense of touch, and for this reason the injury could well be used as a ‘passing-out’ test for the student of closed reduction.
ANATOMY OF THE FRACTURE
As its alternative name implies, the ‘stave’ fracture is often sustained in a bout of fisticuffs. An ill-delivered blow transmits force in the line of the thumb while in flexion, thereby shearing off the anterior part of the base of the metacarpal, and so allowing the bone to escape from the joint in a dorsal direction. The volar ligament of the carpo-metacarpal joint remains intact and this is responsible for holding the wedge-shaped fragment of the metacarpal in its normal relation with the articular surface of the trapezium. The essential deformity of this injury is one of angulation with the concave aspect on the volar side; the intact soft tissues which are to act as the ‘hinge’ for the reduction are thus to be found on the volar aspect of the base of the metacarpal.
- Type
- Chapter
- Information
- The Closed Treatment of Common Fractures , pp. 143 - 149Publisher: Cambridge University PressPrint publication year: 2003