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Journal of Hand Surgery (British and European Volume)
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Articles

The Conservative Management of Bennett’s Fracture-Dislocation: A 26-Year Follow-Up

P. J. LIVESLEY

From Mansfield District General Hospital, Nottinghamshire

Correspondence: Peter J. Livesley, B.Sc., F.R.C.S., 54 Chatsworth Drive, Mansfield, Nottinghamshire, NG18 4QT.

Seventeen patients who had suffered a Bennett’s fracture-dislocation have been reviewed with an average follow up of 26 years. All were treated conservatively. At review, only seven patients had symptoms, but all had a decreased range of movement and grip strength. Twelve had a characteristic deformity in the hand. Radiographs showed persistent subluxation of the first carpo-metacarpal joint and marked degenerative changes. We suggest that, in the light of the poor long-term outcome, this injury should not be managed conservatively but by some operative means.

Journal of Hand Surgery (British and European Volume), Vol. 15, No. 3, 291-294 (1990)
DOI: 10.1016/0266-7681(90)90006-P
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