History: 28 year-old male injured his thumb in an automobile accident when the airbag deployed.  He sustained a fracture of the thumb metacarpal base (Bennett fracture).  Based on the best evidence available, he elected for percutaneous surgical treatment. 

Diagnosis: Right thumb Bennett fracture

Treatment: Right thumb percutaneous pinning and cast

 

Outcome: After completing the cast and having the pins removed he recovered full motion and strength without any functional limitations.