Trapezium fractures are very rare and can lead to significant deficit of hand function if missed. The purpose of this article is to document and discuss the surgical treatment performed to a 34-year-old man who sustained a closed isolated vertical split fracture of the trapezium on his left non-dominant hand. The patient was treated at our Orthopaedic Surgery Department. We performed an open reduction (by a dorsal approach) and internal fixation with a headless compression screw. At the last follow-up 6 months post-op, the functional outcome was excellent. The patient had no complains, complete wrist and thumb range of motion and hand grip and pinch strength comparable to the contralateral limb. The Disabilities of the Arm, Shoulder and Hand (DASH) score was 7.5. The technique applied ensured a stable and anatomic restoration of the articular joint surface. We decided to discard post-surgical plaster immobilization, which enabled earlier rehabilitation. Furthermore, we believe that the re-establishment of the articular surface will minimize the long-term degenerative changes at the trapeziometacarpal (TMC) joint.
Tibial eminence avulsion fracture or anterior cruciate ligament avulsion fractures are extremely uncommon, especially in adults. The objective of the treatment is to provide knee stability, allow early rehabilitation and reduce complications rate. Several methods for fracture fixation have been described in the literature. We report a case of a 39 year old male who presented with a severe tibial plateau fracture and an avulsed ACL which was arthroscopically fixated with a staple. This is a unique, simple and affordable technique with excellent clinical and functional results.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.