Postoperative Rehabilitation and Functional Outcomes in Reverse Bennett Fracture: A Case Report

Postoperative Rehabilitation and Functional Outcomes in Reverse Bennett Fracture: A Case Report | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Case Report Postoperative Rehabilitation and Functional Outcomes in Reverse Bennett Fracture: A Case Report Binoy Mathew K V, Mari Muthu B, Maryelizabeth Tidiya Walarine This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-8562410/v1 This work is licensed under a CC BY 4.0 License Status: Posted Version 1 posted You are reading this latest preprint version Abstract Background: One of the commonest fractures involving the upper limb is metacarpal fractures; these frequently involve the fifth metacarpal bone. Intra-articular fractures and dislocation involving the base of the fifth metacarpal are often termed reverse or "baby" Bennett's fractures and are considered unstable due to muscle traction and the mobility of the carpometacarpal joint. Though implant fixation helps stabilize the fracture, rehabilitation is important post-operatively for functional improvement. Case Presentation: An 18-year-old right-hand-dominate patient suffered a reverse Bennett fracture of the right fifth metacarpal due to a fall onto an outstretched hand. The patient received open reduction and internal fixation with a plate-screw fixator. Four weeks later, he returned to the out-patient department with pain, stiffness, muscle wasting, and marked disability of the wrist and hand. Clinical assessment revealed severe restriction of joint motion of the fifth metacarpophalangeal joint, restricted motion of the wrist and forearm, along with a DASH score of 48.3, representing moderate disability. Intervention: A physiotherapy program was started, including early mobilization, Maitland joint mobilization methods, and progressive tendon gliding exercises. Initially, the treatment plan concentrated on pain control and joint mobilization techniques, progressing through advanced mobilization, flexor tendon gliding, and strengthening exercises. Outcomes: After completing 20 days of supervised physiotherapy, the patient gained complete pain-free range of motion in the wrist and fingers, along with complete recovery in the motion of the little finger. Functional assessment revealed a marked improvement in the DASH score, which reduced to 6.7, indicating minimal disability. The patient was very satisfied with the results and was able to use his hands functionally. Conclusion: The important role of early structured physiotherapy in managing reverse Bennett fractures that are surgically fixed is made evident in this case. Fixation that enables early mobilization of the hand will contribute significantly to functional restoration while preventing postoperative complications such as stiffness. Further studies must be conducted to provide structured evidence-based management for such a complex condition. Orthopedics Physical Medicine & Rehab Orthopedic Surgery Reverse Bennet Fracture Rehabilitation Hand Injury Rehabilitation Physiotherapy Case Study Full Text Additional Declarations The subject provided written informed consent for publishing his clinical findings including images and videos. The authors declare no competing interests. Cite Share Download PDF Status: Posted Version 1 posted You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. Our growing team is made up of researchers and industry professionals working together to solve the most critical problems facing scientific publishing. Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-8562410","acceptedTermsAndConditions":true,"allowDirectSubmit":true,"archivedVersions":[],"articleType":"Case Report","associatedPublications":[],"authors":[{"id":572151651,"identity":"3c06b155-e594-4fc0-bef9-23c91997ce19","order_by":0,"name":"Binoy Mathew K V","email":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAZAAAAAyAQMAAABI0h/eAAAABlBMVEX///8AAABVwtN+AAAACXBIWXMAAA7EAAAOxAGVKw4bAAAA4ElEQVRIiWNgGAWjYBACA2YQWfFfzv54A4hrQayWM8zGDGcOgLgSRGgBEYxtzIkNNxJATCK0mLPzHnzM28aW2Djz+dUNPwokGPjbuxPwarFs5ks25jnHY9wsnVN2swfoMIkzZzfgd9hhHjNpnjIJ2TbpnLQbPEAtBhK5xGhhM2DskTyTdvMP8VraEhRnSLAfu02ULZbNPMaGc84cMDbgyWG7LWMgwUPQL+b8ZwwfvKk4IGfAfvzZzTd/bOT423vxawEBJh4wxQOOIx6CykGA8QeYYn9AlOpRMApGwSgYeQAAXIND29lpQQgAAAAASUVORK5CYII=","orcid":"https://orcid.org/0000-0002-9637-1214","institution":"Composite Regional Centre for Skill Development Rehabilitation and Empowerment of Persons with Disabilities, Kozhikode, India","correspondingAuthor":true,"prefix":"","firstName":"Binoy","middleName":"Mathew K","lastName":"V","suffix":""},{"id":572151652,"identity":"d83476b2-222f-4487-bcdd-97f47cf2881b","order_by":1,"name":"Mari Muthu B","email":"","orcid":"https://orcid.org/0009-0004-7707-5614","institution":"Composite Regional Centre for Skill Development Rehabilitation and Empowerment of Persons with Disabilities, Kozhikode, India","correspondingAuthor":false,"prefix":"","firstName":"Mari","middleName":"Muthu","lastName":"B","suffix":""},{"id":572151653,"identity":"fe22d326-0e3a-4cc2-982f-2f875d6b99b6","order_by":2,"name":"Maryelizabeth Tidiya Walarine","email":"","orcid":"https://orcid.org/0000-0003-4994-2229","institution":"MIMS College of Nursing, Malappuram, India","correspondingAuthor":false,"prefix":"","firstName":"Maryelizabeth","middleName":"Tidiya","lastName":"Walarine","suffix":""}],"badges":[],"createdAt":"2026-01-09 15:19:21","currentVersionCode":1,"declarations":{"humanSubjects":true,"vertebrateSubjects":false,"conflictsOfInterestStatement":false,"humanSubjectEthicalGuidelines":true,"humanSubjectConsent":true,"humanSubjectClinicalTrial":false,"humanSubjectCaseReport":true,"vertebrateSubjectEthicalGuidelines":false},"doi":"10.21203/rs.3.rs-8562410/v1","doiUrl":"https://doi.org/10.21203/rs.3.rs-8562410/v1","draftVersion":[],"editorialEvents":[],"editorialNote":"","failedWorkflow":false,"files":[{"id":100256235,"identity":"1edd6c52-c831-4b7b-9e34-824f1d022fa9","added_by":"auto","created_at":"2026-01-14 16:04:45","extension":"docx","order_by":0,"title":"","display":"","copyAsset":false,"role":"acdc-reference","size":5186055,"visible":true,"origin":"","legend":"","description":"","filename":"document1.docx","url":"https://assets-eu.researchsquare.com/files/rs-8562410/v1/0ebfe65720d953d8bb0cd300.docx"},{"id":100372062,"identity":"5fb9cc81-c3a7-491d-bf62-436eeb5b1174","added_by":"auto","created_at":"2026-01-16 08:11:30","extension":"json","order_by":1,"title":"","display":"","copyAsset":false,"role":"acdc-reference","size":342,"visible":true,"origin":"","legend":"","description":"","filename":"rs8562410.json","url":"https://assets-eu.researchsquare.com/files/rs-8562410/v1/f8f3bdb636ed303fa570e56d.json"},{"id":100256227,"identity":"89a31d0c-f9cf-457f-a3e6-a0111a00e534","added_by":"auto","created_at":"2026-01-14 16:04:44","extension":"xml","order_by":2,"title":"","display":"","copyAsset":false,"role":"acdc-reference","size":7251,"visible":true,"origin":"","legend":"","description":"","filename":"rs85624100enriched.xml","url":"https://assets-eu.researchsquare.com/files/rs-8562410/v1/5bbdac4f0de301f5d67621da.xml"},{"id":100256230,"identity":"20ec9327-526c-4402-9048-6bd6bde2b480","added_by":"auto","created_at":"2026-01-14 16:04:45","extension":"jpeg","order_by":3,"title":"","display":"","copyAsset":false,"role":"acdc-reference","size":1380475,"visible":true,"origin":"","legend":"","description":"","filename":"floatimage1.jpeg","url":"https://assets-eu.researchsquare.com/files/rs-8562410/v1/4068236d069846aae09fd40a.jpeg"},{"id":100371969,"identity":"cc28542d-29ab-49a7-a472-7f10c4656e49","added_by":"auto","created_at":"2026-01-16 08:11:19","extension":"jpeg","order_by":4,"title":"","display":"","copyAsset":false,"role":"acdc-reference","size":464773,"visible":true,"origin":"","legend":"","description":"","filename":"floatimage10.jpeg","url":"https://assets-eu.researchsquare.com/files/rs-8562410/v1/cf7fd108878686dba7c845bf.jpeg"},{"id":100372406,"identity":"b33b199f-e4ff-458f-ad48-ca80c76fcc7e","added_by":"auto","created_at":"2026-01-16 08:12:16","extension":"jpeg","order_by":5,"title":"","display":"","copyAsset":false,"role":"acdc-reference","size":599566,"visible":true,"origin":"","legend":"","description":"","filename":"floatimage11.jpeg","url":"https://assets-eu.researchsquare.com/files/rs-8562410/v1/a445e680cacb0aa4c87ecc0f.jpeg"},{"id":100372630,"identity":"e3af044d-45aa-44da-b7dd-d44797fbf2e1","added_by":"auto","created_at":"2026-01-16 08:12:49","extension":"jpeg","order_by":6,"title":"","display":"","copyAsset":false,"role":"acdc-reference","size":173584,"visible":true,"origin":"","legend":"","description":"","filename":"floatimage12.jpeg","url":"https://assets-eu.researchsquare.com/files/rs-8562410/v1/42399de1a06b0c32d7e8559c.jpeg"},{"id":100371217,"identity":"f0c9e17d-4397-4907-a7d9-c8472d24276c","added_by":"auto","created_at":"2026-01-16 08:09:40","extension":"jpeg","order_by":7,"title":"","display":"","copyAsset":false,"role":"acdc-reference","size":522670,"visible":true,"origin":"","legend":"","description":"","filename":"floatimage2.jpeg","url":"https://assets-eu.researchsquare.com/files/rs-8562410/v1/5dfabfcd5b5ec61ec211cb06.jpeg"},{"id":100256229,"identity":"767cc9e6-1d23-4e20-9c69-70baa1030423","added_by":"auto","created_at":"2026-01-14 16:04:44","extension":"jpeg","order_by":8,"title":"","display":"","copyAsset":false,"role":"acdc-reference","size":470195,"visible":true,"origin":"","legend":"","description":"","filename":"floatimage3.jpeg","url":"https://assets-eu.researchsquare.com/files/rs-8562410/v1/888635ea6912f955b3ec38bb.jpeg"},{"id":100371994,"identity":"c293d294-e945-43c5-9f96-441e8a198e21","added_by":"auto","created_at":"2026-01-16 08:11:20","extension":"jpeg","order_by":9,"title":"","display":"","copyAsset":false,"role":"acdc-reference","size":542598,"visible":true,"origin":"","legend":"","description":"","filename":"floatimage4.jpeg","url":"https://assets-eu.researchsquare.com/files/rs-8562410/v1/a6ef7cff167f9fc2a2081b1b.jpeg"},{"id":100371986,"identity":"11e454ee-40f6-4327-b73d-8a18af45dd7a","added_by":"auto","created_at":"2026-01-16 08:11:19","extension":"jpeg","order_by":10,"title":"","display":"","copyAsset":false,"role":"acdc-reference","size":462362,"visible":true,"origin":"","legend":"","description":"","filename":"floatimage5.jpeg","url":"https://assets-eu.researchsquare.com/files/rs-8562410/v1/c897052685e3299d5fef6671.jpeg"},{"id":100256241,"identity":"e95a154e-9bb9-416d-9f43-fe771f87ada6","added_by":"auto","created_at":"2026-01-14 16:04:45","extension":"jpeg","order_by":11,"title":"","display":"","copyAsset":false,"role":"acdc-reference","size":486259,"visible":true,"origin":"","legend":"","description":"","filename":"floatimage6.jpeg","url":"https://assets-eu.researchsquare.com/files/rs-8562410/v1/1ca3632db9369fc522c87aae.jpeg"},{"id":100372260,"identity":"3940a00d-0e70-4b08-a621-c5999b4ae679","added_by":"auto","created_at":"2026-01-16 08:11:53","extension":"jpeg","order_by":12,"title":"","display":"","copyAsset":false,"role":"acdc-reference","size":244949,"visible":true,"origin":"","legend":"","description":"","filename":"floatimage7.jpeg","url":"https://assets-eu.researchsquare.com/files/rs-8562410/v1/a9c59e7d10bbc69ec58e605c.jpeg"},{"id":100256246,"identity":"98e647b7-4a61-4c8b-9f63-b7c4fad01eae","added_by":"auto","created_at":"2026-01-14 16:04:45","extension":"jpeg","order_by":13,"title":"","display":"","copyAsset":false,"role":"acdc-reference","size":362159,"visible":true,"origin":"","legend":"","description":"","filename":"floatimage8.jpeg","url":"https://assets-eu.researchsquare.com/files/rs-8562410/v1/ba8dfa2b62d7eed226f59b7b.jpeg"},{"id":100371752,"identity":"9d5ed51d-7824-4ab3-adcb-c4d911ed68d8","added_by":"auto","created_at":"2026-01-16 08:10:48","extension":"jpeg","order_by":14,"title":"","display":"","copyAsset":false,"role":"acdc-reference","size":733623,"visible":true,"origin":"","legend":"","description":"","filename":"floatimage9.jpeg","url":"https://assets-eu.researchsquare.com/files/rs-8562410/v1/241bb03d87aeaed2308d22dd.jpeg"},{"id":100371957,"identity":"760bd11b-5d69-4699-8369-82b9092cc4fc","added_by":"auto","created_at":"2026-01-16 08:11:17","extension":"png","order_by":15,"title":"","display":"","copyAsset":false,"role":"acdc-reference","size":297102,"visible":true,"origin":"","legend":"","description":"","filename":"Onlinefloatimage1.png","url":"https://assets-eu.researchsquare.com/files/rs-8562410/v1/78cdf49f3a5a7567db879ed2.png"},{"id":100256252,"identity":"d7f0f82d-b839-48db-a079-86bd0782d51a","added_by":"auto","created_at":"2026-01-14 16:04:45","extension":"png","order_by":16,"title":"","display":"","copyAsset":false,"role":"acdc-reference","size":472390,"visible":true,"origin":"","legend":"","description":"","filename":"Onlinefloatimage10.png","url":"https://assets-eu.researchsquare.com/files/rs-8562410/v1/a7f3fb60073d773e010663b5.png"},{"id":100256244,"identity":"91b4ca4d-fc71-4a45-b4b3-71eb77507378","added_by":"auto","created_at":"2026-01-14 16:04:45","extension":"png","order_by":17,"title":"","display":"","copyAsset":false,"role":"acdc-reference","size":623664,"visible":true,"origin":"","legend":"","description":"","filename":"Onlinefloatimage11.png","url":"https://assets-eu.researchsquare.com/files/rs-8562410/v1/7e60d74b1158113e43295dba.png"},{"id":100372259,"identity":"03969aba-021b-4b96-843e-1bc0190f5cf6","added_by":"auto","created_at":"2026-01-16 08:11:53","extension":"png","order_by":18,"title":"","display":"","copyAsset":false,"role":"acdc-reference","size":167906,"visible":true,"origin":"","legend":"","description":"","filename":"Onlinefloatimage12.png","url":"https://assets-eu.researchsquare.com/files/rs-8562410/v1/85a8c37b2fdc0c62fce85fe2.png"},{"id":100256248,"identity":"9ee74eb6-7ef4-4754-926f-21c2441ae43c","added_by":"auto","created_at":"2026-01-14 16:04:45","extension":"png","order_by":19,"title":"","display":"","copyAsset":false,"role":"acdc-reference","size":529748,"visible":true,"origin":"","legend":"","description":"","filename":"Onlinefloatimage2.png","url":"https://assets-eu.researchsquare.com/files/rs-8562410/v1/759c3a9547282c04104fb058.png"},{"id":100370955,"identity":"5f9f56b9-f3e8-46fe-8b17-2af94d1950f2","added_by":"auto","created_at":"2026-01-16 08:09:02","extension":"png","order_by":20,"title":"","display":"","copyAsset":false,"role":"acdc-reference","size":410679,"visible":true,"origin":"","legend":"","description":"","filename":"Onlinefloatimage3.png","url":"https://assets-eu.researchsquare.com/files/rs-8562410/v1/8ebc5fcef0b344932fc6d497.png"},{"id":100372139,"identity":"2c0c9f26-0406-4ccc-99e3-32ea117de900","added_by":"auto","created_at":"2026-01-16 08:11:44","extension":"png","order_by":21,"title":"","display":"","copyAsset":false,"role":"acdc-reference","size":300039,"visible":true,"origin":"","legend":"","description":"","filename":"Onlinefloatimage4.png","url":"https://assets-eu.researchsquare.com/files/rs-8562410/v1/857e2a936bb37c2e49a77c8d.png"},{"id":100371782,"identity":"f440fa65-6c75-4f35-9949-6d30ab768066","added_by":"auto","created_at":"2026-01-16 08:10:54","extension":"png","order_by":22,"title":"","display":"","copyAsset":false,"role":"acdc-reference","size":232029,"visible":true,"origin":"","legend":"","description":"","filename":"Onlinefloatimage5.png","url":"https://assets-eu.researchsquare.com/files/rs-8562410/v1/cfb53673d348913a31f77159.png"},{"id":100256247,"identity":"f81cab58-6de6-4d8f-a61c-ef8c1d8775ed","added_by":"auto","created_at":"2026-01-14 16:04:45","extension":"png","order_by":23,"title":"","display":"","copyAsset":false,"role":"acdc-reference","size":259751,"visible":true,"origin":"","legend":"","description":"","filename":"Onlinefloatimage6.png","url":"https://assets-eu.researchsquare.com/files/rs-8562410/v1/dff8260522cc69d11c107bd5.png"},{"id":100256251,"identity":"9133ef6e-c9e7-452c-8707-4fd4cb0ed4bc","added_by":"auto","created_at":"2026-01-14 16:04:45","extension":"png","order_by":24,"title":"","display":"","copyAsset":false,"role":"acdc-reference","size":156232,"visible":true,"origin":"","legend":"","description":"","filename":"Onlinefloatimage7.png","url":"https://assets-eu.researchsquare.com/files/rs-8562410/v1/9b1acbb052c1d2e500d8f732.png"},{"id":100371205,"identity":"90d870c2-980f-47d8-86c0-7f3ebe1520c8","added_by":"auto","created_at":"2026-01-16 08:09:39","extension":"png","order_by":25,"title":"","display":"","copyAsset":false,"role":"acdc-reference","size":95963,"visible":true,"origin":"","legend":"","description":"","filename":"Onlinefloatimage8.png","url":"https://assets-eu.researchsquare.com/files/rs-8562410/v1/2589bf457f8e48921cfb8f94.png"},{"id":100256254,"identity":"86315645-ad0e-417e-9197-8fc4838f18da","added_by":"auto","created_at":"2026-01-14 16:04:45","extension":"png","order_by":26,"title":"","display":"","copyAsset":false,"role":"acdc-reference","size":740593,"visible":true,"origin":"","legend":"","description":"","filename":"Onlinefloatimage9.png","url":"https://assets-eu.researchsquare.com/files/rs-8562410/v1/ee33a26e9f1d86d65ee1045d.png"},{"id":100372452,"identity":"e44cbe86-8dce-4295-8fca-261cac488d02","added_by":"auto","created_at":"2026-01-16 08:12:26","extension":"xml","order_by":27,"title":"","display":"","copyAsset":false,"role":"acdc-reference","size":6632,"visible":true,"origin":"","legend":"","description":"","filename":"rs85624100structuring.xml","url":"https://assets-eu.researchsquare.com/files/rs-8562410/v1/1fb73e64e70089fda50dfb82.xml"},{"id":100372529,"identity":"53130605-69ad-46a1-a845-6716d38ba583","added_by":"auto","created_at":"2026-01-16 08:12:36","extension":"html","order_by":28,"title":"","display":"","copyAsset":false,"role":"acdc-reference","size":9849,"visible":true,"origin":"","legend":"","description":"","filename":"earlyproof.html","url":"https://assets-eu.researchsquare.com/files/rs-8562410/v1/980701a7f37c00b5157453ee.html"},{"id":100383766,"identity":"95d7b4fd-67e1-462b-8258-e0030319824e","added_by":"auto","created_at":"2026-01-16 10:48:16","extension":"pdf","order_by":1,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":3707234,"visible":true,"origin":"","legend":"","description":"","filename":"document1.pdf","url":"https://assets-eu.researchsquare.com/files/rs-8562410/v1_covered_55691aba-2367-4099-8db2-0fe6fb49c77a.pdf"}],"financialInterests":"\u003cp\u003eThe subject provided written informed consent for publishing his clinical findings including images and videos.\u003c/p\u003e\n\u003cp\u003eThe authors declare no competing interests.\u003c/p\u003e","formattedTitle":"\u003cp\u003ePostoperative Rehabilitation and Functional Outcomes in Reverse Bennett Fracture: A Case Report\u003c/p\u003e","fulltext":[],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":false,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":true,"hideJournal":true,"highlight":"","institution":"Composite Regional Centre for Skill Development Rehabilitation and Empowerment of Persons with Disabilities, Kozhikode, India","isAcceptedByJournal":false,"isAuthorSuppliedPdf":true,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":true,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true},"keywords":"Reverse Bennet Fracture, Rehabilitation, Hand Injury, Rehabilitation, Physiotherapy, Case Study","lastPublishedDoi":"10.21203/rs.3.rs-8562410/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-8562410/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003cp\u003e\u003cstrong\u003eBackground:\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eOne of the commonest fractures involving the upper limb is metacarpal fractures; these frequently involve the fifth metacarpal bone. Intra-articular fractures and dislocation involving the base of the fifth metacarpal are often termed reverse or \"baby\" Bennett's fractures and are considered unstable due to muscle traction and the mobility of the carpometacarpal joint. Though implant fixation helps stabilize the fracture, rehabilitation is important post-operatively for functional improvement.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eCase Presentation:\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eAn 18-year-old right-hand-dominate patient suffered a reverse Bennett fracture of the right fifth metacarpal due to a fall onto an outstretched hand. The patient received open reduction and internal fixation with a plate-screw fixator. Four weeks later, he returned to the out-patient department with pain, stiffness, muscle wasting, and marked disability of the wrist and hand. Clinical assessment revealed severe restriction of joint motion of the fifth metacarpophalangeal joint, restricted motion of the wrist and forearm, along with a DASH score of 48.3, representing moderate disability.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eIntervention:\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eA physiotherapy program was started, including early mobilization, Maitland joint mobilization methods, and progressive tendon gliding exercises. Initially, the treatment plan concentrated on pain control and joint mobilization techniques, progressing through advanced mobilization, flexor tendon gliding, and strengthening exercises.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eOutcomes:\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eAfter completing 20 days of supervised physiotherapy, the patient gained complete pain-free range of motion in the wrist and fingers, along with complete recovery in the motion of the little finger. Functional assessment revealed a marked improvement in the DASH score, which reduced to 6.7, indicating minimal disability. The patient was very satisfied with the results and was able to use his hands functionally.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eConclusion:\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe important role of early structured physiotherapy in managing reverse Bennett fractures that are surgically fixed is made evident in this case. Fixation that enables early mobilization of the hand will contribute significantly to functional restoration while preventing postoperative complications such as stiffness. Further studies must be conducted to provide structured evidence-based management for such a complex condition.\u003c/p\u003e","manuscriptTitle":"Postoperative Rehabilitation and Functional Outcomes in Reverse Bennett Fracture: A Case Report","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2026-01-14 16:04:35","doi":"10.21203/rs.3.rs-8562410/v1","editorialEvents":[{"type":"communityComments","content":0}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"0c18f72d-f49d-4753-b9b0-ec8773371e73","owner":[],"postedDate":"January 14th, 2026","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"posted","subjectAreas":[{"id":60890503,"name":"Orthopedics"},{"id":60890504,"name":"Physical Medicine \u0026 Rehab"},{"id":60890505,"name":"Orthopedic Surgery"}],"tags":[],"updatedAt":"2026-01-14T16:04:36+00:00","versionOfRecord":[],"versionCreatedAt":"2026-01-14 16:04:35","video":"","vorDoi":"","vorDoiUrl":"","workflowStages":[]},"version":"v1","identity":"rs-8562410","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-8562410","identity":"rs-8562410","version":["v1"]},"buildId":"XKTyCvWXoU3ODBz1xrDgd","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}