The Rolando fracture is really a fracture-dislocation of the base of the first metacarpal. The fracture is intraarticular and comminuted, distinguishing it from the noncomminuted Bennett fracture. There are usually three main fracture fragments.
|A||AP radiograph of the first digit. This demonstrates the comminuted intraarticular fracture at the base of the first metacarpal, a Rolando fracture.|