Trapezoid fracture

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Background

  • Extremely rare (<1% of all carpal fractures)
  • Occurs via axial load onto index metacarpal

Clinical Features

  • Tenderness along radial aspect augmented by applying pressure along index metacarpal

Imaging

  • Difficult to visualize on x-ray; CT or MRI may be necessary

Management

  • Thumb spica splint

Source

  • Tintinalli
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