View source for Trapezium fracture

==Background==
*Occurs via direct blow to thumb or dorsiflexion and radial deviation force
*Major complication is nonunion

==Clinical Features==
*Painful thumb movement
*Weak pinch
*TTP at apex of anatomic snuffbox, base of thenar eminence

==Differential Diagnosis==
{{Carpal fractures}}

==Evaluation==
*Hand x-ray (best seen on 20-degree pronated oblique view)

[[File:Trapezium_Fracture.jpg|thumb|Trapezium fracture]]

==Management==
{{General Fracture Management}}

===Immobilization===
*Short arm [[thumb spica splint]]

==Disposition==
*Discharge with close hand/ortho follow up

===Specialty Care===
*Displaced fracture >1mm or diastasis >2mm require surgery

==See Also==
*[[Carpal fractures]]

==References==
<references/>

[[Category:Orthopedics]]