Palmar Dislocation of the Trapezoid With Coronal Shearing Fracture: Case Report

Calfee, Ryan P.; White, Lydia; Patel, Amar; Stern, Peter J.

doi:10.1016/j.jhsa.2008.06.009

Cited by 16 publications

(11 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Jeong et al reported that a ≤2 mm displacement can be conservatively treated [11]. Some reports recommended that surgical treatment be selected depending on articular surface displacement and that open reduction and internal fixation be performed to restore articular congruity [12, 13]. In the present case, surgery was performed as treatment for trapezoid and scaphoid fractures owing to the estimated 3 mm displacement of the trapezoid fracture.…”

Section: Discussionmentioning

confidence: 87%

Trapezoid Fracture Associated with Scaphoid Fracture in a Football Goalkeeper

Yamamoto

Matsushita

Ito

et al. 2019

Case Reports in Orthopedics

View full text Add to dashboard Cite

Introduction. Trapezoid fractures are uncommon in sports. We presented a rare case of a trapezoid fracture associated with a scaphoid fracture caused by punching a ball in a football goalkeeper. Case Presentation. A 19-year-old male who played as a football goalkeeper visited our hospital with complaints of sustained pain from the right wrist to the hand after punching a ball. Scaphoid fracture was diagnosed on plain radiographs, whereas trapezoid fracture was overlooked. Computed tomography revealed a displaced trapezoid fracture associated with a scaphoid fracture. Both fractures were successfully treated by open reduction and internal fixation using cannulated screws. Almost complete bone union was achieved at 5 months after surgery. The patient returned to play as a football goalkeeper. Conclusion. The simultaneous occurrence of trapezoid and scaphoid fractures has never been reported. Trapezoid fractures are rare and can be overlooked on plain radiographs, as what happened in the present case, because the trapezoid is small and overlaps with other carpal bones on plain radiographs. If there is sustained pain in the wrist and hand after punching, combined trapezoid and scaphoid fractures should be considered as the possible injury.

show abstract

Section: Discussionmentioning

confidence: 87%

Trapezoid Fracture Associated with Scaphoid Fracture in a Football Goalkeeper

Yamamoto

Matsushita

Ito

et al. 2019

Case Reports in Orthopedics

View full text Add to dashboard Cite

show abstract

“…These injuries may be missed and require diligent radiographic evaluation. The oblique or pronated oblique views are particularly useful [4]. Straight posteroanterior radiographs [5, 27, 42] and CT scans [4, 7] may also be helpful.…”

Section: Discussionmentioning

confidence: 99%

Combined Dislocation of the Trapezium and the Trapezoid: A Case Report with Review of the Literature

Clarke

Raphael

2009

Hand (New York, N,Y.)

View full text Add to dashboard Cite

show abstract

“…Displaced fractures are often associated with adjacent metacarpal or carpal bone fractures and are therefore readily identifiable on plain films. 7,26 Unlike with scaphoid fractures, no evidence in the literature suggests that radiographic resorption becomes more apparent over time. However, in practice environments where advanced imaging is unavailable, occult trapezoid fractures can be managed with serial radiographs and immobilization.…”

Section: Discussionmentioning

confidence: 99%

Approach to Isolated Trapezoid Fractures

Nammour

Desai

Warren

et al. 2019

TOJ

View full text Add to dashboard Cite

Background: The trapezoid is the least commonly fractured carpal bone, comprising 4% of all carpal fractures. To date, few articles have been published on isolated trapezoid fractures. Mechanisms of injury have typically been reported as an axial load, with or without forced wrist flexion/extension, that is transmitted from the second metacarpal indirectly to the trapezoid. Case Reports: Two patients presenting with symptoms of nonspecific wrist pain after acute trauma were initially worked up with plain film x-rays. Physical examinations identified nonspecific wrist pain in both patients. Mechanisms of injury involved direct trauma and an axial force transmitted through the scaphoid region of an extended wrist in each patient. Plain x-rays were negative for trapezoid fracture in both patients. Computed tomography and magnetic resonance imaging revealed the diagnoses. Conservative management consisted of splinting and immobilization, with full recovery reported at 2.5-and 3-month follow-up. Conclusion: Isolated fractures of the trapezoid require a high index of suspicion as they are rare, and localizing signs and symptoms are typically vague and may mimic those of scaphoid fractures. When athletes present with dorsal wrist pain, swelling, and snuffbox tenderness in the setting of negative plain x-rays, the most likely mechanisms of injury are associated with athletic activity. Treatment depends on the degree of displacement and other associated injuries and ranges from activity modification or immobilization to open reduction with internal fixation.

show abstract

Palmar Dislocation of the Trapezoid With Coronal Shearing Fracture: Case Report

Cited by 16 publications

References 8 publications

Trapezoid Fracture Associated with Scaphoid Fracture in a Football Goalkeeper

Trapezoid Fracture Associated with Scaphoid Fracture in a Football Goalkeeper

Combined Dislocation of the Trapezium and the Trapezoid: A Case Report with Review of the Literature

Approach to Isolated Trapezoid Fractures

Contact Info

Product

Resources

About