title: Bennett fracture dislocation - review and management.
abstract: BACKGROUND
  Bennett fracture dislocation is an intra-articular fracture of the base of the first metacarpal with resultant dislocation of the first carpometacarpal joint. The fracture is unstable, and with inadequate treatment leads to osteoarthritis, weakness and/or loss of function of the first carpometacarpal joint.
  
  
  OBJECTIVE
  This article reviews the current literature on Bennett fracture and describes the clinical assessment and management of a Bennett fracture.
  
  
  CONCLUSIONS
  Bennett fractures usually result from falling on an extended or abducted thumb or an impact onto a clenched fist. The patient presents with pain and loss of function of the first carpometacarpal joint. Management can involve closed reduction, with or without percutaneous Kirschner wire fixation, or open reduction and internal fixation, with adequate reduction and the maintenance of reduction being the key to a successful outcome. Due to the difficulty of management it is recommended that patients be referred to a specialist hand surgeon.
authors.affiliation: Department of Orthopaedics, Princess Alexandra Hospital, Brisbane, Queensland, Australia. brownliecraig@hotmail.com
authors.forename: Craig
authors.initials: C
authors.lastname: Brownlie
authors.forename: Daniel
authors.initials: D
authors.lastname: Anderson
mesh_terms: D052737:Carpometacarpal Joints / Q000293:injuries*; D006801:Humans; D057072:Intra-Articular Fractures / Q000175:diagnosis* / Q000628:therapy*; D004204:Joint Dislocations / Q000175:diagnosis* / Q000628:therapy*; D050279:Metacarpal Bones / Q000293:injuries*