Trapezium fracture - a common technique to fix a rare injury: a case report

Abstract

Trapezium fractures are rare injuries which should not be missed. We report a case of a 27-year-old right hand dominant man who sustained a closed vertical trapezium fracture and first carpometacarpal joint dislocation which was treated with closed reduction and percutaneous Kirschner-wire fixation, a technique familiar to all orthopaedic surgeons. Satisfactory functional outcome was achieved at final follow-up.

Sonography of trapezial ridge fractures

“…They are usually associated with distal radial and first metacarpal fractures . These fractures can be difficult to diagnose . There were no other fractures in our cases.…”

“…5,6 These fractures can be difficult to diagnose. [1][2][3][4][5][6][7][8][9] There were no other fractures in our cases.…”

“…Trapezial fractures are uncommon with trapezial ridge fractures being even rarer . These fractures are due to direct trauma as seen following a fall on an outstretched hand or by indirect trauma (ie, secondary to excessive tension of the transverse carpal ligament, which is attached to the trapezial ridge) (Figure ).…”

“…T rapezial fractures are uncommon with trapezial ridge fractures being even rarer. [1][2][3][4][5][6][7][8][9] These fractures are due to direct trauma as seen following a fall on an outstretched hand or by indirect trauma (ie, secondary to excessive tension of the transverse carpal ligament, which is attached to the trapezial ridge) 10,11 (Figure 1). These can easily be overlooked on standard radiographs unless there is a high index of clinical suspicion and further imaging performed.…”

Isolated coronal split fracture of the trapezium

“…There are reports of closed manipulative reduction followed by percutaneous Kirschner wire fixation, leading to good functional outcome 517. Various fixation methods have been used.…”