Occult isolated fracture of the trapezoid diagnosed by ultrasonography

Ault, Daniel L.; Jokerst, Aimee R.; Kettner, Norman W.

doi:10.1007/s40477-018-0308-3

Cited by 4 publications

(2 citation statements)

References 16 publications

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“…Most authors report a very good outcome, regardless of the type of treatment (Table 1), but long-term outcomes of untreated trapezoid fractures are not as good even though they are not as thoroughly documented. There is a possibility of delayed union, symptomatic non-union, or malunion and osteonecrosis, and these can lead to long-term functional impairment with chronic pain and reduced grip strength [14].…”

Section: Discussionmentioning

confidence: 99%

Isolated Trapezoid Fracture in a Boxer

Ribeiro

Botton

2019

Am J Case Rep

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Patient: Male, 33 Final Diagnosis: Trapezoid fracture Symptoms: Pain during active flexion/extension of the wrist tenderness at the base of the second metacarpal Medication: — Clinical Procedure: Cast immobilisation Specialty: Orthopedics and Traumatology Objective: Challenging differential diagnosis Background: Trapezoid fractures are very uncommon, accounting for less than 1% of all wrist fractures. Isolated fractures of this bone are even more rare, with just a few reports in the literature. The trapezoid bone has a very stable position within the wrist, forming a relatively immobile joint with the second metacarpal base distally. It is also connected by very strong ligaments to the trapezium, capitate and, scaphoid. Trapezoid fractures occur when a strong bending or axial force is applied to the second metacarpal base. Case Report: We present a clinical case of an isolated, non-displaced, trapezoid fracture in a young white male, which was treated with cast immobilization for 4 weeks and physical therapy. Complete functional recovery was achieved 3 months after the injury, without any pain or tenderness. Conclusions: Fractures of the trapezoid bone usually have a good clinical outcome. Nonetheless, we need to be very suspicious about this diagnosis since radiography is apparently normal in almost all such cases and clinical examination results may not be entirely clear.

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Section: Discussionmentioning

confidence: 99%

Isolated Trapezoid Fracture in a Boxer

Ribeiro

Botton

2019

Am J Case Rep

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“…The proper investigations are important in correctly diagnosing these fractures. Although trapezoid fractures are often missed( 9), standard antero-posterior and lateral radiographs of the hand are the mainstay first-line imaging, followed by ultrasonography [10], although US can be problematic as it is operator dependent. In difficult cases, MRI, technetium bone scans or CT is recommend [9].…”

Section: Discussionmentioning

confidence: 99%

One-Year Follow-Up Of Isolated Trapezoid Fracture From Occult Trauma: A Case Report

Suwannaphisit

Suwanno

Tangtrakulwanich

2020

ijmsci

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Background Herein we present a rare case of isolated trapezoid fracture from occult trauma and review this type of fracture as related to sports injuries. The common presentation of occult trauma is important and proper imaging will lead to accurate diagnosis and consequent treatment with excellent results. Case presentation A 28-year-old right hand-dominant female presented with pain in her right hand for 1 week following a boxing class in fitness training. She was diagnosed as isolated trapezoid fracture. She was successfully treated with short arm cast immobilization for 3 weeks and a moveable wrist splint for 3 weeks with activity modification. A one year follow up confirmed excellent clinical results. Conclusion Isolated sports-related trapezoid fractures are rare and the diagnosis is usually missed. Advanced imaging can be helpful. Following conservative treatment our patient was able to return to normal activities and continued to have no problems at the 1 year follow up.

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