Arthroscopic Assisted Treatment of Combined Trapezium and Bennett Fracture-Dislocation

Tandioy-Delgado, Fabio Andrés; Marcovici, Lucian Lior; Luchetti, Riccardo; Atzei, Andrea

doi:10.1097/bth.0000000000000406

Cited by 3 publications

(2 citation statements)

References 38 publications

(94 reference statements)

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“…Marcovici et al introduced an arthroscopically assisted surgical technique for thumb metacarpal-base articular fractures and noted that the technique could also be applied to trapezium articular fractures 13 . Tandioy-Delgado et al described a technique for arthroscopically assisted treatment of combined trapezium and Bennett’s fracture dislocation 14 . The authors performed arthroscopically assisted surgery using 1-radial (1-R) and 1-U portals.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopically Assisted Treatment of Isolated Comminuted Trapezium Fracture

Ohno,

Omokawa,

Kawamura

2024

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Cases: Two competitive athletes with isolated comminuted trapezium fractures, sustained during American football and rugby, presented with pain and swelling of the first metacarpal base. Computed tomography confirmed isolated comminuted trapezium fractures. Arthroscopic reduction of displacement with screw fixation below the articular surface was performed through a small incision. Both patients returned to their preinjury sports levels within 2 months postoperatively. Conclusion: Arthroscopic treatment of isolated comminuted trapezium fractures achieved accurate reduction of articular surface displacement and preserved trapeziometacarpal joint stability with minimal soft-tissue invasion. This facilitated an early return to contact sports for the affected athletes.

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Section: Discussionmentioning

confidence: 99%

Arthroscopically Assisted Treatment of Isolated Comminuted Trapezium Fracture

Ohno,

Omokawa,

Kawamura

2024

JBJS Case Connector

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“…16 The most frequently employed surgical treatment options cited in the literature include ORIF with screws and K-wires, closed reduction and percutaneous fixation with K-wire, external fixation, button fixation, and finally arthroscopically assisted, percutaneous screw fixation. 8,15,[17][18][19][20][21][22][23] ORIF with a miniscrew or Herbert screw allows for more accurate reduction of the depressed articular surface and restoration of intraarticular congruency, particularly at the level of the CMC joint, which is vital for optimal thumb function. 8,15,19 Additional Kwire fixation between the first and second metacarpals could be advantageous in the early stages of treatment, particularly in cases of comminuted trapezium fractures.…”

Section: Discussionmentioning

confidence: 99%

Operative Treatment of an Isolated, Comminuted, Biarticular Trapezium Fracture: A Case Report and Review of the Literature

Eiras,

Bolgouras,

Panayiotou

et al. 2024

J Wrist Surg

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Background Isolated, highly comminuted trapezium fractures are extremely rare. While they can be initially diagnosed with plain radiographs, a computed tomography scan of the wrist will more clearly reveal the fracture details and aid in appropriate preoperative planning. Restoration of the fracture with a congruent reduction of the adjacent joints is mandatory for a favorable prognosis. Case Description A case of a highly comminuted, biarticular, trapezium fracture in a young male patient that was treated operatively with open reduction and internal fixation (ORIF) with a cannulated miniscrew and an additional Kirschner wire (K-wire) is presented. Restoration of a decent intra-articular congruity of the trapezium with both the base of the first metacarpal distally and the scaphoid bone proximally ensured a favorable outcome. Literature Review Various operative techniques are presented in current literature, encompassing ORIF with screws and K-wires, closed reduction and percutaneous fixation with K-wires, mini-external fixation, button fixation, and arthroscopically assisted percutaneous fixation. A favorable prognosis is documented in cases where a congruous reduction of the fracture was achieved and maintained throughout the healing period. Clinical Relevance We feel that a formal ORIF is the procedure of choice for highly comminuted trapezium fractures, as they are not easily amenable to accurate reduction by means of closed methods.

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Arthroscopic Hemitrapeziectomy and Extensor Carpis Radialis Longus Suspensioplasty With Intermetacarpal Ligament Reconstruction for Thumb Carpometacarpal Joint Osteoarthritis: Surgical Technique

Sous,

Tovar-Bazaga,

Teixeira-Taborda

2024

Techniques in Hand &Amp; Upper Extremity Surgery

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Most of the classical reconstructive procedures for the treatment of thumb carpometacarpal (CMC) joint osteoarthritis consist of partial or complete trapeziectomy with ligament reconstruction and tendon interposition (LRTI). Traditionally, this was performed with an open approach. In the last 2 decades, emerging arthroscopic techniques have been developed. Although more technically challenging, arthroscopic management of CMC pathology provides the potential benefits of minimally invasive surgery. Despite several different arthroscopic approaches that exist, in recent years, arthroscopic hemitrapeziectomy with suture button (SB) suspensionplasty has become popular, with overall good outcomes. However, several complications associated with the SB device have been described as requiring secondary surgery. In this report, we present and describe a new surgical technique for arthroscopic treatment of thumb CMC osteoarthritis that combines the benefits of arthroscopic management with the potential advantages of ligament reconstruction by creating a real anatomical and biological reconstruction of the intermetacarpal ligament using a distally based strip of the extensor carpi radialis longus (ECRL) tendon with a minimally invasive approach. Our ongoing research data show encouraging preliminary clinical and radiologic outcomes at the latest follow-up, with further studies forthcoming. Level of Evidence: Level IV.

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Arthroscopic Assisted Treatment of Combined Trapezium and Bennett Fracture-Dislocation

Cited by 3 publications

References 38 publications

Arthroscopically Assisted Treatment of Isolated Comminuted Trapezium Fracture

Arthroscopically Assisted Treatment of Isolated Comminuted Trapezium Fracture

Operative Treatment of an Isolated, Comminuted, Biarticular Trapezium Fracture: A Case Report and Review of the Literature

Arthroscopic Hemitrapeziectomy and Extensor Carpis Radialis Longus Suspensioplasty With Intermetacarpal Ligament Reconstruction for Thumb Carpometacarpal Joint Osteoarthritis: Surgical Technique

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