Certified Hand Therapist (CHT) Practice Exam

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What does a Rolando fracture commonly present with?

Commenced at the middle phalanx
Intra-articular fracture
Injury of the ulnar collateral ligament
Complete dislocation of the fifth digit

The correct answer is: Intra-articular fracture

A Rolando fracture is characterized as an intra-articular fracture of the base of the first metacarpal, usually affecting the carpometacarpal (CMC) joint of the thumb. This type of fracture typically presents as a comminuted fracture, which means it is broken into multiple fragments, often involving the joint surface. The significance of this fracture type lies in its impact on the joint, which can complicate healing and function if not managed appropriately, emphasizing the importance of recognizing that the intra-articular involvement directly influences treatment decisions. In addition to its intra-articular nature, the Rolando fracture may also manifest with related soft tissue injuries or contribute to joint instability. However, understanding that the primary distinguishing feature of this fracture type is its intra-articular component is essential in both diagnosis and treatment planning.