A case report of comminuted trapezium fracture with surgical treatment.
Carpometacarpal joint
Temporary fixation
Thumb
Trapezium fracture
Journal
Trauma case reports
ISSN: 2352-6440
Titre abrégé: Trauma Case Rep
Pays: Netherlands
ID NLM: 101711730
Informations de publication
Date de publication:
Dec 2022
Dec 2022
Historique:
accepted:
02
11
2022
entrez:
17
11
2022
pubmed:
18
11
2022
medline:
18
11
2022
Statut:
epublish
Résumé
Comminuted trapezium fracture is very rare. As the trapezium is necessary for thumb movements, delayed diagnosis and treatment can result in thumb carpometacarpal (CM) joint osteoarthritis and restricted mobility. The K-wire or screw fixation is recommended for repairing displaced fractures. However, there is currently no established treatment protocol for this rare fracture. In trapezium fracture, a technique with K-wire fixation in addition to open reduction and internal fixation (ORIF) has been reported with favorable clinical outcomes. In this report, we present a case of comminuted trapezium fracture successfully treated with surgery. The present case involved a 26-year-old woman who was injured while driving her car, which led to a comminuted trapezium fracture. ORIF was conducted with headless screws and a locking plate, and the first and second metacarpals were temporarily fixed by K-wire with the thumb in traction. Six months after surgery, bony union and favorable clinical outcomes were achieved. This technique could be beneficial to prevent articular surface collapse in the comminuted trapezium fracture and to achieve favorable clinical outcomes.
Identifiants
pubmed: 36386430
doi: 10.1016/j.tcr.2022.100732
pii: S2352-6440(22)00128-5
pmc: PMC9663527
doi:
Types de publication
Case Reports
Langues
eng
Pagination
100732Informations de copyright
© 2022 The Authors.
Déclaration de conflit d'intérêts
The authors declare that there are no relevant conflicts of interest.
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