S62.213

Clinical Causes: Falling onto an outstretched hand with the thumb extended Direct blow or trauma to the base of the thumb Sports injuries, especially in contact or high-impact sports Twisting or crushing injuries from accidents or falls Motor vehicle accidents

Key Symptoms: Pain at the base of the thumb and along the first dorsal web space Swelling and tenderness around the thumb joint Limited range of motion in the thumb and wrist Bruising in the affected area Difficulty gripping or pinching objects Deformity or noticeable swelling in the thumb's base

Diagnosis Path: Diagnosis typically involves a comprehensive physical examination and imaging studies. An X-ray of the thumb and wrist is essential to confirm the presence and extent of the fracture. The X-ray may reveal a break at the base of the first metacarpal bone, often with some displacement. In some cases, additional imaging, such as computed tomography (CT), may be necessary for detailed assessment, especially if the fracture is complex or displaced.

Treatment Protocols: Treatment options for Bennett's fracture depend on the severity and displacement of the break: - **Non-surgical Management:** For minimally displaced fractures, immobilization with a cast or thumb spica splint for several weeks may be sufficient to allow healing. - **Surgical Intervention:** Displaced or unstable fractures often require surgery. Procedures may include reduction (realignment of the bone) and fixation with pins, screws, or plates to maintain proper alignment during healing. - **Post-treatment Care:** Following treatment, physical therapy may be recommended to restore range of motion, strength, and function in the thumb and hand. Pain management and regular follow-up visits are important for ensuring proper healing. Early diagnosis and appropriate management are crucial to prevent long-term functional impairment of the thumb and hand.