1. Can You Use Your Thumb?
Bennett's Fracture is a fracture of the thumb at its base. Bennett's fracture occurs where the base of the thumb meets the wrist. Because of the location and type of injury, Bennett's fracture almost always includes the dislocation of the thumb. The thumb joint is used for opposition and pinch; any dislocation or fracture can cause a loss of function, if not treated correctly.
2. Know That It's Common in Sports
Bennett's fracture is common happens while engaged in sports activity, especially football, boxing, soccer and rugby. The thumb is partially flexed or flexed when it's hit, causing the fracture. The dislocation occurs when the hit happens, injuring one of the many ligaments that stabilize the thumb joint. Bennett's fracture can also occur from a fall or traumatic injury.
3. Prepare for Surgery
If you have Bennett's fracture, the symptoms are rapid swelling of the thumb and wrist area and severe pain at the base of the thumb. The thumb joint will be unstable and motion is very limited. The doctor will take x-rays and a CT scan to verify that you have Bennett's fracture. Most doctors will do surgery on the thumb to correct the alignment of the bones and joint, using a wire to affix them correctly. Some doctors follow a conservative route and will immobilize the joint and bone with a spica cast; however most of these injuries require surgery for proper alignment and recovery.
4. Understand the Complications
If the Bennett's fracture isn't aligned correctly during the healing process, loss of mobility and arthritis can be a complication. Arthritis can also occur if the joint was severely impacted during the injury. Bennett's fracture has a high rate of post injury arthritis, regardless of the type of treatment. Other complications can include loss of sensation from nerve damage and infection from surgery.
5. Follow Through for Full Mobility
After surgery, follow up with your doctor to prevent loss of motion. Casts may be changed from a molded spica thumb cast to a thermoplastic splint until the fracture is healed. Rehabilitation is done by physical therapists, starting with hot packs to improve movement and ease the pain of therapy. Gentle strengthening exercises are done along with flexibility training to regain strength and mobility. Continue the physical therapy at home, using strengthening balls to squeeze. When returning to sports, tape your thumb and wrist area to keep it stable and protected while you play.
