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please we'll start with a Bennett fracture a benefactor is a unstable oblique intra-articular fracture dislocation involving the first CMC joint and is located at the metacarpal base this results in shortening and deformity 80% of thumb fractures involved the metacarpal base and Bennett fractures are the most common variant complications would include non-union instability and traumatic osteoarthritis the mechanism of injury results from an axial load and a deduction for some partially flex thumb the proximal Palmer fragment is stabilized by the Strongsville or oblique ligament and is held stable the larger distal fragment is displaced dorsally and radially by traction from the abductor pollicis longus tendon differential diagnosis would include Rolando fracture extra-articular metacarpal fracture UCL ligament injury boilerplate injury Rolando fractures are less common and more complicated and severe they resolve from combination of the larger dorsal fragment into a Y or t-shap

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