Secondary Logo

Journal Logo

Institutional members access full text with Ovid®

Rolando fractures

Proubasta, Ignacio; Lamas, Claudia; Itarte, Joan; Sarasquete, Juan; Carrera, Ion

doi: 10.1097/BCO.0b013e3181f3e6c0

Fractures of the base of the thumb metacarpal can be divided into extra-articular and intra-articular fractures. Intra-articular fractures are subdivided into Bennett and Rolando fractures. In 1882, Edward Hallaran Bennett, described a fracture at the base of the first metacarpal that bears his name. This fracture is an avulsion of the main substance of the thumb metacarpal from the volar-ulnar aspect of the metacarpal base. The remaining metacarpal base subluxates radially, proximally, and dorsally. One hundred years ago, Silvio Rolando described a specific tripartite fracture of the base of the thumb metacarpal with Y-shaped intra-articular into trapeziometacarpal (TMC) joint. The eponym “Rolando fracture,” is broadly used to describe any comminuted intra-articular fracture at the base of the first metacarpal. The optimal treatment method for a Rolando fracture has not been established. The purpose of this article is to provide a comprehensive review of this fracture, including the anatomy and biomechanics, incidence, etiology, pathophysiology and diagnosis, with special emphasis on treatment.

Hospital Sant Pau, Barcelona, Spain, Universitat Autonoma de Barcelona

Correspondence to Ignacio Proubasta, MD, PhD, Hospital Sant Pau, Mas i Casanovas, 90, Barcelona, Spain 08006

Tel: +003493919411; fax: +0034932913267;


© 2010 Lippincott Williams & Wilkins, Inc.