Vitamin D supplementation if not already taking it
References
Guidelines and key sources
Primary references for Rolando fracture management
Rolando S (1910). Fracture de la base du premier metacarpe. Presse Med 1910
Original description of the comminuted intra-articular fracture pattern
Jupiter JB, Axelrod TS, Belsky MR. Fractures and dislocations of the hand. In: Browner BD, ed. Skeletal Trauma. Philadelphia: WB Saunders; 2008
American Society for Surgery of the Hand clinical practice guidelines
Intra-articular fractures of the thumb metacarpal base
Kjaer-Petersen K, Langhoff O, Andersen K. Bennett's fracture. J Hand Surg (Br). 1990;15:58–61
Comparative outcomes for Bennett versus Rolando fracture patterns
Langhoff O, Andersen K, Kjaer-Petersen K. Rolando's fracture. J Hand Surg (Br). 1991;16:454–459
Largest series reporting on Rolando fracture outcomes including external fixation
Evidence levels and surgical guidelines
ACEP Clinical Policy on hand trauma
Supports plain radiography as first-line imaging (Level B recommendation)
Supports CT for surgical planning when operative fixation anticipated (Level C recommendation)
Orthopaedic Trauma Association guidelines for intra-articular fracture reduction
Articular step-off reduction to < 1 mm as quality standard
ICD-10 coding reference
S62.201A — fracture of base of thumb, unspecified side, initial encounter
S62.201D — fracture of base of thumb, unspecified side, subsequent encounter
S62.211 — Bennett fracture, right thumb (for differential coding comparison)
SNOMED CT concept: comminuted intra-articular fracture of base of first metacarpal bone
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