![]() Non-operative treatment in a thumb spica cast for 3-4 weeks can be considered in stable, non-displaced fractures. Even though there is a dislocation there should still be a small fragment of the first metacarpal that continues to articulate with trapezium. On these CT scans a Bennett fracture will present can as an intra-articular fracture and dislocation of base of the first metacarpal.
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