Fifty percent of patients treated with closed reduction and percutaneous pinning had persistent instability at the thumb CMC joint and underwent subsequent surgical procedures.

The base of the first metacarpal has been fixed with K-wires. Image courtesy of Mark S. Granick, MD To achieve reduction, the thumb was abducted and pronated, and longitudinal traction was applied.

Bennett’s and Rolando fractures represent challenging intra‐articular injuries of the base of the first metacarpal. Bennett’s fractures typically involve an oblique fracture line that ...

Thumb metacarpal fractures can be classified as shaft or base fractures, with base fractures further classified into extra-articular (epibasilar) or intra-articular. Intra-articular fractures are ...