Simultaneous fracture of carpal scaphoid and trapezium

Schil, Van; C, Desmet; Kelleher, John C.

doi:10.1097/00006534-198904000-00068

Cited by 6 publications

(9 citation statements)

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“…Regarding the mechanism of injury, there is no consensus on the exact mechanism. High-energy trauma with direct trauma at the first commissure or indirect axial loaded wrist trauma with radial deviation and hyperextension is mechanisms described and associated with comminuted and vertical fractures, respectively [ 8 , 10 , 11 ]. Motorcycle accidents have been associated throughout the literature as responsible for about 50% of cases of trapezium fracture [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

Trapezium and Bennett Fracture – A Rare Base Thumb Fracture Pattern:A Case Report

Pina¹,

Vaz²,

Vaz³

et al. 2021

JOCR

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Introduction: Trapezium fracture is a rare entity whose treatment is controversial. The reported cases range from conservative treatment to surgical treatment with good reported results. Case Report: This paper reports a clinical case of trapezium-metacarpal fracture-dislocation associated with trapezius fracture and Bennett fracture, surgically treated with excellent functional and radiological results. The patient underwent open reduction and internal fixation with two screws, excision of fragments, and reinsertion of the anterior oblique ligament. At the year of follow-up, the patient presented no mobility limitations and recovered grip strength. Conclusion: This case study allows us to conclude that open reduction and internal fixation with screws of the dorsal trapezium ridge fractures with ligament repair of the anterior oblique ligament is a valid treatment with the reproduction of good clinical results. Keywords: Hand surgery, internal fixation, trapezium fracture.

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Section: Discussionmentioning

confidence: 99%

Trapezium and Bennett Fracture – A Rare Base Thumb Fracture Pattern:A Case Report

Pina¹,

Vaz²,

Vaz³

et al. 2021

JOCR

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“…Nonoperative treatment consists of immobilization for 4 to 6 weeks [13][14][15]. The results of the conservative treatment with a plaster cast for most non-displaced trapezium fractures diverge, from successful [16] to dismal [17]. Although a universal protocol for the treatment of this injury is lacking, it is commonly accepted that intraarticular fractures require accurate reduction and restoration of the articular surface.…”

Section: Discussionmentioning

confidence: 99%

Open Reduction and Fixation of Trapezium Fracture

Martins¹,

Vasques²,

Pereira³

et al. 2017

MOJOR

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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.

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“…Associated injuries reported include fracture of the proximal pole of the scaphoid,316 fracture of the thumb metacarpal,113 fracture of the distal radius,4 fracture of other metacarpals,4 and fracture of other carpals, including trapezoid and capitate 4…”

Section: Discussionmentioning

confidence: 99%