Isolated comminuted trapezium fracture: A case report and literature review

Rare Isolated Trapezium Fracture: Clinical Case Presentation

“…4 The saddle shape of the trapeziometacarpal joint and its stabilizing ligaments have a role in providing the first ray with adequate mobility and stability needed for performing activities of everyday life. 1 According to the literature, nearly 50% of the trapezial fractures are a consequence of motorbike accidents, 2 as we reported in our case.…”

“…5 Imaging consists of plain radiographs, but often undisplaced fractures can be imperceptible on these. 4,6 Trapezial fractures diagnosis can be made by radiographs with specific projections 4,5,9,10 such as Bett's view (true lateral view of the trapeziometacarpal joint), 1,3 Robert's view (true anteroposterior view of the trapeziometacarpal joint) and carpal tunnel view. 3,5 However, the sensibility of conventional plain radiographs is poor, varying from 18% to 67%.…”

“…Among different carpal bones, those placed at the proximal row are more prone to fracture. 1 Trapezium fractures are rare, accounting for 0.4% of hand's injuries 2,3 and 3%-5% of carpal fractures. [4][5][6] Due to the low prevalence and difficulty in diagnosing isolated trapezium fractures by routine imaging, high clinical suspicion, careful history taking, physical examination, and imaging interpretation are needed to avoid missing this diagnosis.…”

“…[4][5][6] Due to the low prevalence and difficulty in diagnosing isolated trapezium fractures by routine imaging, high clinical suspicion, careful history taking, physical examination, and imaging interpretation are needed to avoid missing this diagnosis. 1 A universal protocol for its treatment is lacking. 7 Several treatment options have been described in the literature.…”

Comminuted Trapezium Fracture: Case Presentation and Review of Surgical Fixation Techniques

“…The trapezium is palpable dorsally at the base of the thumb or distal portion of the snuffbox as well as at the base of the thenar eminence. The most common presentation of fracture is pain and tenderness at the base of the first metacarpal bone and snuffbox [ 6 ]. Patients may present with pain with wrist flexion with resistance due to the position of the flexor carpal radialis [ 7 ].…”