Bennett's fracture

Bennett’s fracture

Bennett's fracture
Bennett’s fracture

Introduction to Bennett’s fracture

Bennett’s fracture is a specific type of fracture that involves the base of the thumb’s first metacarpal bone. This injury can be painful and limit the functionality of the hand. In this article, we will get to know what is Bennett’s fracture, how it happens, what are the signs and symptoms of Bennett’s fracture, and its physiotherapy treatment.

What is Bennett’s Fracture?

Bennett’s fracture is a specific type of fracture that occurs at the base of the first metacarpal bone, which connects to the thumb. This fracture typically involves displacement of the joint surface, leading to instability and limited mobility.

Causes of Bennett’s Fracture

The primary cause of Bennett’s fracture is usually direct trauma to the thumb, such as a forceful impact or a fall onto an outstretched hand. This type of injury is commonly seen in sports-related accidents or during activities that involve the hand being subjected to high forces.

Signs and Symptoms

  1. Pain and Swelling: Individuals with Bennett’s fracture experience pain and swelling around the base of the thumb.
  2. Limited Range of Motion: The thumb’s movement becomes restricted due to the fracture’s impact on joint stability.
  3. Weakness: Grip strength may weaken due to the fracture’s effect on the thumb’s functionality.
  4. Deformity: In some cases, a visible deformation or displacement of the thumb may occur.

Diagnosis and Imaging

To diagnose Bennett’s fracture, a thorough physical examination and imaging tests like X-rays are conducted. These help in assessing the extent of the fracture, the level of displacement, and the most suitable treatment approach.

Medical Management

Treatment strategies depend on the fracture’s severity and displacement. Non-surgical approaches may involve immobilization through splinting or casting. For more severe cases, surgical intervention might be necessary to realign the fractured bones and stabilize the joint.

Immobilization and Splinting

Immobilization is crucial for the initial stages of healing. A splint or cast may be applied to keep the thumb in a stable position, allowing the bones to mend correctly.

Physiotherapy Treatment

Physiotherapy Treatment is a crucial component of the recovery journey for individuals with Bennett’s fracture. This therapeutic approach is designed to address various aspects of healing, ensuring that the thumb and hand regain their full functionality, strength, and range of motion. Let’s delve into the different facets of physiotherapy treatment in detail:

Exercises for Rehabilitation

One of the cornerstones of physiotherapy treatment is the implementation of specialized exercises that are tailored to each individual’s condition. Physiotherapists carefully assess the extent of the injury and the patient’s overall health before crafting a personalized exercise regimen. These exercises are aimed at improving mobility, restoring strength, and gradually progressing as the healing process advances.

As the healing progresses, the exercises are adjusted in intensity to avoid straining the healing tissues. This gradual increase in intensity not only supports the recovery process but also helps in preventing setbacks that can arise from pushing too hard, too soon.

Restoring Range of Motion

Maintaining the range of motion in the thumb joint is crucial for preventing stiffness and ensuring that the hand can resume its normal activities. Physiotherapists employ gentle stretching exercises and mobility drills to ensure that the thumb joint remains flexible. By gradually guiding the joint through its natural range of motion, stiffness, and discomfort are minimized.

Strengthening the Thumb

After Bennett’s fracture, the strength of the thumb is often compromised. This can impact grip strength and overall hand functionality. Physiotherapy treatment includes targeted exercises that are designed to progressively rebuild the strength of the thumb muscles. These exercises focus on gradually increasing resistance and load, helping the individual regain their grip strength and confidence in using their hand.

Functional Training

Functional training is a vital aspect of the rehabilitation process. This involves performing exercises and activities that closely mimic real-life hand movements. By engaging in tasks that replicate daily activities, individuals can transition more smoothly from the recovery phase to their regular routines. Functional training ensures that the newly regained strength and mobility are applied effectively in practical situations.

Elite Treatment

At Elite Physiotherapy and sports injury centre we have the most advanced and high-tech modalities to make sure patients with Bennett’s fractures get the best possible treatment. These modalities include- Extracorporeal shock wave therapy, high-intensity class 4 laser, TRF therapy, Super inductive system, Ultrasonic machine, IFT & TENS, etc.

Factors Affecting Recovery

Recovery from Bennett’s fracture is influenced by various factors. Age, overall health, and the individual’s commitment to the treatment recommendations play crucial roles in determining the healing timeline. Younger individuals with good overall health and strict adherence to the treatment plan generally experience a faster and more complete recovery.

Preventing Future Injuries

Physiotherapists also play a proactive role in preventing future injuries. They provide valuable guidance on hand protection techniques and exercises that can help in strengthening the hand and thumb, making them more resilient to potential injuries. This guidance is particularly important for individuals engaged in activities that pose a higher risk of re-injury, such as sports or physically demanding work.


In conclusion, physiotherapy treatment is a comprehensive approach that aids in the full recovery of individuals with Bennett’s fractures. Through targeted exercises, range of motion restoration, strength building, functional training, and diligent compliance, patients can regain optimal hand functionality and reduce the chances of future complications. The guidance of skilled physiotherapists and the commitment of the individual are integral components in achieving a successful recovery.


Can Bennett’s fracture heal without surgery?

Yes, mild cases can heal with immobilization, but severe cases may require surgical intervention.

How long does the recovery process take?

Recovery time varies, but it can take several weeks to a few months for complete healing.

Can physiotherapy be done at home?

While some exercises can be done at home, it’s advisable to seek guidance from a professional physiotherapist.

Are there any long-term complications of Bennett’s fracture?

If not treated and appropriately rehabilitated, complications like joint stiffness and weakness can arise.

When can I return to sports after Bennett’s fracture?

Return to sports should only be considered after getting clearance from a healthcare professional to avoid re-injury.


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